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Organization

EVERGREEN COACHING AND COUNSELING, INC.

Active
Find providers by NPI
Organization

EVERGREEN COACHING AND COUNSELING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTNEY HOMANN MSW, LCSW (CEO)
(217) 714-7420
Entity
Organization

Contact information

Practice address
411 E PARK ST STE 106, CHAMPAIGN, IL 61820-3862
(217) 714-7042
(866) 216-6514
Mailing address
411 E PARK ST STE 106, CHAMPAIGN, IL 61820-3862
(217) 714-7042
(855) 216-6514

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363L00000X
Nurse Practitioner

Other

Enumeration date
01/04/2019
Last updated
06/12/2026
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