EVERGREEN RECOVERY, LLC
NPI 1669281135
Clinic/Center - Mental Health (Including Community Mental Health Center) in Randallstown, MD
About Evergreen Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN RECOVERY, LLC (NPI 1669281135) is a healthcare organization registered as a mental health (including community mental health center) in Randallstown, Maryland and active in the NPI registry since December 2024. The organization lists Shanazar Beasley, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
RANDALLSTOWN, MD 21133
RANDALLSTOWN, MD 21133
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 Evergreen Recovery, LLC's NPI number?
The NPI number for Evergreen Recovery, LLC is 1669281135. It was assigned to this organization in the NPPES registry on December 30, 2024.
Where is Evergreen Recovery, LLC located?
Evergreen Recovery, LLC is located at 9637 Liberty Rd Ste G, Randallstown, MD 21133. The listed phone number is (443) 413-0468.
What is Evergreen Recovery, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Evergreen Recovery, LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Evergreen Recovery, Llc · NPI 1669281135
Mental Health (Including Community Mental Health Center) organization in Randallstown, Maryland. Organization record, active in the CMS NPPES registry since December 30, 2024.
## Identity
- **NPI:** 1669281135 (Entity type: Organization)
- **Enumerated:** December 30, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Shanazar Beasley, CEO
## Practice location
- **Address:** 9637 LIBERTY RD STE G, Randallstown, MD 21133-2452
- **Phone:** (443) 413-0468
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669281135) · Data from the CMS NPPES public registry.