# EVERGREEN THERAPY & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336858190
- **Authorized official:** KASSANDRA MORAN (OWNER/THERAPIST)
- **Authorized official phone:** (785) 477-4400

## Contact information

- **Practice address:** 206-10 SOUTHWIND PLACE SUITE 2C, MANHATTAN, KS 66503
- **Practice address phone:** (785) 477-4400
- **Mailing address:** 206-10 SOUTHWIND PLACE SUITE 2C, MANHATTAN, KS 66503
- **Mailing address phone:** (785) 477-4400

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2022
- **Last updated:** 12/05/2024
