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Organization
EVERGREEN THERAPEUTIC SERVICES
Active
Organization
EVERGREEN THERAPEUTIC SERVICES
Active
Other names
Evergreen Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE FOURNIER LMHC (OWNER)
(305) 814-4863
Entity
Organization
Contact information
Practice address
4770 BISCAYNE BLVD STE 1440, MIAMI, FL 33137-3247
(305) 814-4863
Mailing address
650 NE 32ND ST UNIT 4703, MIAMI, FL 33137-5269
(305) 814-4863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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