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

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1669281135

Evergreen Recovery, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) 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.

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Practice location Address checks out

9637 Liberty Rd Ste G
Randallstown, MD 21133-2452
Phone: (443) 413-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1669281135
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

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