Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Recovery, LLC

Organization Adult Psychiatric/Mental Health Registered Nurse · NPI 1487463956

Evergreen Recovery, LLC is an Adult Psychiatric/Mental Health Registered Nurse in Randallstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9637 Liberty Rd Ste G
Randallstown, MD 21133-2452
Phone: (443) 413-0468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X

Record details

NPI number1487463956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanazar Beasley — Ceo · (443) 413-0468
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address9637 Liberty Rd Ste G, Randallstown, MD 21133-2452