| Evergreen Recovery, Llc | |
|
9637 Liberty Rd Ste G Randallstown MD 21133-2452 | |
| (443) 413-0468 | |
| Not Available |
| Full Name | Evergreen Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9637 Liberty Rd Ste G, Randallstown, Maryland |
| Authorized Official Name and Position | Shanazar Beasley (CEO) |
| Authorized Official Contact | 4434130468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Recovery, Llc 9637 Liberty Rd Ste G Randallstown MD 21133-2452 Ph: (443) 413-0468 | Evergreen Recovery, Llc 9637 Liberty Rd Ste G Randallstown MD 21133-2452 Ph: (443) 413-0468 |
| NPI Number | 1669281135 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669281135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Morning Star Group Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8629 Liberty Rd Ste E, Randallstown, MD 21133 Phone: 240-505-4750 Fax: 410-496-5028 | |
Sinai Hospital Of Baltimore Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5415 Old Court Rd, S04, Randallstown, MD 21133 Phone: 410-601-9515 Fax: 410-601-8904 | |
Dream House Visions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8804 Stephanie Rd, Randallstown, MD 21133 Phone: 443-985-6294 | |
Chrysalis Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3617 Waterwheel Sq, Randallstown, MD 21133 Phone: 410-929-0374 | |
Mclean's Couch Therapeutic Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4103b Holbrook Rd, Randallstown, MD 21133 Phone: 443-983-8436 | |
Rebekah Home Healthcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 Kilburn Rd, Randallstown, MD 21133 Phone: 410-922-2617 Fax: 410-922-4620 | |
Lifebridge Community Physicians Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 |