# EVERGREEN BEHAVIORAL HEALTH INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Behavioral Health Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932978277
- **Authorized official:** JOSHUA MESSER CAP, ICADC (CEO)
- **Authorized official phone:** (386) 487-9979

## Contact information

- **Practice address:** 1206 SW MAIN BLVD STE 103, LAKE CITY, FL 32025-6603
- **Practice address phone:** (386) 487-9979
- **Practice address fax:** (386) 487-9979
- **Mailing address:** 1206 SW MAIN BLVD STE 103, LAKE CITY, FL 32025-6603
- **Mailing address phone:** (386) 487-9979
- **Mailing address fax:** (386) 487-9979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 12/28/2023