Provider Demographics
NPI:1477264190
Name:EVERMORE THERAPY AND WELLNESS GROUP LLC
Entity Type:Organization
Organization Name:EVERMORE THERAPY AND WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-619-8964
Mailing Address - Street 1:6114 FLAGLER LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2905
Mailing Address - Country:US
Mailing Address - Phone:317-619-8964
Mailing Address - Fax:
Practice Address - Street 1:6114 FLAGLER LN
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2905
Practice Address - Country:US
Practice Address - Phone:317-619-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty