# EVERGREEN THERAPY COLLECTIVE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528824380
- **Authorized official:** KATHERINE HOSTETTER (OWNER)
- **Authorized official phone:** (860) 682-4714

## Contact information

- **Practice address:** 210 E EVERGREEN AVE, PHILADELPHIA, PA 19118-2823
- **Practice address phone:** (860) 682-4714
- **Mailing address:** 1417 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2024
- **Last updated:** 02/27/2024