Evergrace Therapy LLC
Evergrace Therapy LLC is a healthcare organization registered as Adult Mental Health Clinic/Center in Evergreen Park, IL, holding Type 2 (organization) NPI 1164292645 since 2024. The authorized official on file is Samantha Vazquez, Owner/Psychotherapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164292645 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergrace Therapy LLC |
| Practice address | 10104 S UTICA AVE, Evergreen Park, IL, 60805 |
| Phone | 3042806360 |
| Enumeration date | 2024-01-04 |
| Last updated in NPPES | 2024-01-04 |
Authorized official
| Name | Samantha Vazquez |
|---|---|
| Title | Owner/Psychotherapist |
| Phone | 3042806360 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Evergrace Therapy LLC NPI: 1164292645 Taxonomy: 261QM0850X (Adult Mental Health Clinic/Center) Address: 10104 S UTICA AVE, Evergreen Park, IL, 60805
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790207868 | Samantha Vazquez | Individual | Mental Health Counselor | Evergreen Park, IL |
Verify this record
Cross-check NPI 1164292645 against the authoritative CMS record: view Evergrace Therapy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Evergrace Therapy LLC?
What is the NPI number for Evergrace Therapy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-04.