# EVERGREEN THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Therapy PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124895602
- **Authorized official:** ALISHA M BACHMAN LMFT (OWNER)
- **Authorized official phone:** (253) 254-5227

## Contact information

- **Practice address:** 4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
- **Practice address phone:** (253) 254-5227
- **Mailing address:** 4501 15TH AVE S STE 103, SEATTLE, WA 98108-1874
- **Mailing address phone:** (253) 254-5227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 12/05/2023