# EVERGREEN THERAPY LLC

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

## Provider details

- **NPI number:** 1891306973
- **Authorized official:** MRS. ELIZABETH REYES LMFT (LMFT)
- **Authorized official phone:** (541) 399-4411

## Contact information

- **Practice address:** 1245 PEARL ST STE 208, EUGENE, OR 97401-3564
- **Practice address phone:** (541) 279-2245
- **Practice address fax:** (541) 804-7380
- **Mailing address:** 243 W 10TH AVE, EUGENE, OR 97401-3008
- **Mailing address phone:** (541) 279-2245
- **Mailing address fax:** (541) 804-7380

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 01/05/2022