Healthcare Provider Details

I. General information

NPI: 1659229151
Provider Name (Legal Business Name): EVERGREEN MIND AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US

IV. Provider business mailing address

9 SAWMILL RD
ATKINSON NH
03811-2438
US

V. Phone/Fax

Practice location:
  • Phone: 978-202-6226
  • Fax:
Mailing address:
  • Phone: 978-202-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERICA M ARAUJO
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 978-697-0905