Healthcare Provider Details

I. General information

NPI: 1285567115
Provider Name (Legal Business Name): EVERGREEN PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W NC HIGHWAY 54 STE 213
DURHAM NC
27707-5578
US

IV. Provider business mailing address

1415 W NC HIGHWAY 54 STE 213
DURHAM NC
27707-5578
US

V. Phone/Fax

Practice location:
  • Phone: 919-442-8369
  • Fax:
Mailing address:
  • Phone: 919-442-8369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA DANIEL RAMSEY
Title or Position: OWNER/THERAPIST
Credential: LMFT
Phone: 919-442-8369