EVERGREEN EMPOWERMENT GROUP INC (NPI# 1679998066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998066 |
| Entity Type | Organization |
| Organization Name | EVERGREEN EMPOWERMENT GROUP INC |
| Other Organization Name | EEG |
| Practice Address |
35104 Euclid Ave Ste 314 Willoughby OH 44094-4566 |
| Practice Telephone | 2167030067 |
| Mailing Telephone | 2167030067 |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | KARMEN COLE (CEO) |
| Authorized Official Telephone | 2167030067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| EEG | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9965 Darrow Park Dr Apt 124f, Twinsburg, OH 440873504 | 2163760193 |
| Street Address |
35104 EUCLID AVE STE 314 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034439 | Elevations Health Inc. | Community/Behavioral Health | 37721 Vine St Ste 1, Willoughby, OH 44094-6256 | 2020-02-12 |
| 1598169104 | Signature Health Inc | Community/Behavioral Health | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2014-10-13 |
| 1497018022 | Lakehealth | Community/Behavioral Health | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2012-06-19 |
| 1083998819 | Signature Health Associates, LLC | Community/Behavioral Health | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2011-09-28 |
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| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1942800065 | In Balance Counseling LLC | Community/Behavioral Health | 13 E Main St Ste 4, Hudson, OH 44236-3061 | 2020-10-28 |
| 1831799246 | Serenity Springs Clinical Counseling LLC | Community/Behavioral Health | 5913 Pineville Dr, Grove City, OH 43123-2568 | 2020-10-27 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1720695943 | Eleven 11 Behavioral Solutions | Community/Behavioral Health | 79 Verdin Ct, Gahanna, OH 43230-6714 | 2020-09-30 |
| 1326654641 | Tiffany Hopkins Online Counseling LLC | Community/Behavioral Health | 4342 Carthel Dr, Liberty Twp, OH 45011-2316 | 2020-09-22 |
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on EVERGREEN EMPOWERMENT GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.