Organization
EVERGREEN COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTY ROBBENNOLT (OWNER/MEMBER/THERAPIST)
(517) 221-9522
Entity
Organization
Contact information
Practice address
526 S CREYTS RD STE C, LANSING, MI 48917-8263
(517) 221-9522
Mailing address
526 S CREYTS RD STE C, LANSING, MI 48917-8263
(517) 221-9522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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