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Organization
EVERGREEN THERAPY PLLC
Active
Organization
EVERGREEN THERAPY PLLC
Active
Other names
Erin Rayburn DBA Evergreen Therapy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN RAYBURN LMFT, LPC-MHSP, NCC (OWNER)
(423) 364-9955
Entity
Organization
Contact information
Practice address
748 OVERBRIDGE LN STE 12, CHATTANOOGA, TN 37405-3320
(423) 364-9955
Mailing address
PO BOX 311, LOOKOUT MOUNTAIN, TN 37350-0311
(423) 364-9955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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