=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659229151
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EVERGREEN MIND AND WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2026
-----------------------------------------------------
Last Update Date | 03/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9 SAWMILL RD
-----------------------------------------------------
City | ATKINSON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03811-2438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-697-0905
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 82 WENDELL AVE STE 100
-----------------------------------------------------
City | PITTSFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01201-7066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-202-6226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHIATRIC NURSE PRACTITIONER
-----------------------------------------------------
Name | ERICA M ARAUJO
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 978-697-0905
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------