# EVERGREEN THERAPY PLLC

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

## Provider details

- **NPI number:** 1396465894
- **Authorized official:** ERIN RAYBURN LMFT, LPC-MHSP, NCC (OWNER)
- **Authorized official phone:** (423) 364-9955

## Contact information

- **Practice address:** 748 OVERBRIDGE LN STE 12, CHATTANOOGA, TN 37405-3320
- **Practice address phone:** (423) 364-9955
- **Mailing address:** PO BOX 311, LOOKOUT MOUNTAIN, TN 37350-0311
- **Mailing address phone:** (423) 364-9955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2022
- **Last updated:** 09/02/2022