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EVERNORTH DIRECT HEALTH LLC
NPI 1447093778
Clinic/Center in Towson, MD

Active since June 14, 2024CLIA 21D2312941 · Waiver
305 WASHINGTON AVE, TOWSON, MD 21204(623) 277-1190 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evernorth Direct Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH DIRECT HEALTH LLC (NPI 1447093778) is a healthcare organization registered as a clinic/center in Towson, Maryland and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1447093778
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address305 WASHINGTON AVETowson, MD 21204-4740
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(623) 277-1190
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1447093778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
305 WASHINGTON AVE, Towson, MD 21204
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Other Names 1

Other NameBaltimore County Health & Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2312941

Baltimore Co Employee Health Ctr Dba Evernorth Dir · Towson, MD
Active · expires Oct 21, 2026
CLIA Number21D2312941
Laboratory TypeOutpatient
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorAmanda Harner
Laboratory Phone(480) 868-0646
Laboratory LocationBaltimore Co Employee Health Ctr Dba Evernorth Dir305 Washington Avenue Suite 101, Towson, MD 21204
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOCCARA MOSLEY MSN, CRNP, PMHNP-BC LLC
Nurse Practitioner (Psychiatric/Mental Health)
305 WASHINGTON AVE, SUITE 500
TOWSON, MD 21204
Baltimore County (443) 202-0983
THERAPEUTIC SOLUTIONS, LLC
Community/Behavioral Health
305 WASHINGTON AVE, STE. 500
TOWSON, MD 21204
Baltimore County (410) 622-4306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1447093778. It was assigned to this organization in the NPPES registry on June 14, 2024. The provider is also known as Baltimore County Health & Wellness Center.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 305 Washington Ave, Towson, MD 21204. The listed phone number is (623) 277-1190.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2312941) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.