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General NPI Number Information
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NPI Number | 1467302794
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Entity Type | Organization
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Legal Business Name | EVERGREEN COMMUNITY BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 919 CANNON CROSSING CIR
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City | GREENSBORO
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State | NC
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Zip | 27410-3452
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Country | US
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Telephone | 202-845-1158
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Fax |
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Provider Business Mailing Address
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Address Line | 1853 TRYON DR UNIT 7
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-6236
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Country | US
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Telephone | 202-845-1158
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL ADDICTION SPECIAL
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Name | LASHAWN MONIQUE ROGERS
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Credential | LCASA
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Telephone | 202-845-1158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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