Organization
EVERGREEN INTEGRATIVE MENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA MARIE GREEN LCPC (OWNER)
(208) 490-2082
Entity
Organization
Contact information
Practice address
111 SHOSHONE ST N STE 202, TWIN FALLS, ID 83301-6119
(208) 490-2082
(208) 718-1106
Mailing address
595 MT VIEW DR, TWIN FALLS, ID 83301-4319
(208) 490-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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