Healthcare Provider Details

I. General information

NPI: 1235057761
Provider Name (Legal Business Name): EVERWELL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STRAITS TPKE STE AANDB
MIDDLEBURY CT
06762-2865
US

IV. Provider business mailing address

943 BUNKER HILL AVE
WATERBURY CT
06708-1503
US

V. Phone/Fax

Practice location:
  • Phone: 475-263-2946
  • Fax: 203-547-8011
Mailing address:
  • Phone: 475-263-2946
  • Fax: 203-547-8011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENITRA SHERMAN
Title or Position: CEO
Credential: FNP
Phone: 475-263-2946