Evergreen Recovery, LLC
Evergreen Recovery, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Randallstown, MD, holding Type 2 (organization) NPI 1669281135 since 2024. The authorized official on file is Shanazar Beasley, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669281135 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Recovery, LLC |
| Practice address | 9637 LIBERTY RD STE G, Randallstown, MD, 21133 |
| Phone | 4434130468 |
| Enumeration date | 2024-12-30 |
| Last updated in NPPES | 2024-12-30 |
Authorized official
| Name | Shanazar Beasley |
|---|---|
| Title | Ceo |
| Phone | 4434130468 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Evergreen Recovery, LLC NPI: 1669281135 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 9637 LIBERTY RD STE G, Randallstown, MD, 21133
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447023270 | Evergreen Recovery, LLC | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Randallstown, MD |
| 1487463956 | Evergreen Recovery, LLC | Organization | Adult Psychiatric/Mental Health Registered Nurse | Randallstown, MD |
Verify this record
Cross-check NPI 1669281135 against the authoritative CMS record: view Evergreen Recovery, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Evergreen Recovery, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-30.