Healthcare Provider Details

I. General information

NPI: 1275499055
Provider Name (Legal Business Name): EVERRISE RECOVERY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3266 N MERIDIAN ST FL 9
INDIANAPOLIS IN
46208-5846
US

IV. Provider business mailing address

3266 N MERIDIAN ST FL 9
INDIANAPOLIS IN
46208-5846
US

V. Phone/Fax

Practice location:
  • Phone: 317-289-5253
  • Fax:
Mailing address:
  • Phone: 317-289-5253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KENDRICK E MAJOR
Title or Position: CLINICAL DIRECTOR/PROGRAM MANAGER
Credential: LCSW
Phone: 317-289-5253