Organization
EVERGREEN THERAPY PLLC
Active
Other names
Erin Rayburn DBA Evergreen Therapy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN RAYBURN LMFT, LPC-MHSP, NCC (OWNER)
(423) 364-9955
Entity
Organization
Contact information
Practice address
748 OVERBRIDGE LN STE 12, CHATTANOOGA, TN 37405-3320
(423) 364-9955
Mailing address
PO BOX 311, LOOKOUT MOUNTAIN, TN 37350-0311
(423) 364-9955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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