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Evergrace Therapy LLC

Adult Mental Health Clinic/Center in Evergreen Park, IL · enumerated 2024 · authorized official Samantha Vazquez, Owner/Psychotherapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164292645

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Registry record

Entity type Organization (Type 2)
Legal business name Evergrace Therapy LLC
Practice address 10104 S Utica Ave, Evergreen Park, IL, 60805
Phone (304) 280-6360
Enumeration date Jan 4, 2024
Last updated in NPPES Jan 4, 2024

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samantha Vazquez
Title Owner/Psychotherapist
Phone (304) 280-6360

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.

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Frequently asked questions

Who is the authorized official for Evergrace Therapy LLC?
NPPES lists Samantha Vazquez (Owner/Psychotherapist) as the authorized official for this organization.
What is the NPI number for Evergrace Therapy LLC?
The NPI for Evergrace Therapy LLC is 1164292645, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-04.