Organization
EVERGREEEN COUNSELING
Active
Other names
Prodigal Projects Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOGAN AVERY (OWNER)
(501) 230-5009
Entity
Organization
Contact information
Practice address
1130 SHULL ISLAND RD, GILBERT, SC 29054-8605
(501) 230-5009
Mailing address
1130 SHULL ISLAND RD, GILBERT, SC 29054-8605
(501) 230-5009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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