Healthcare Provider Details

I. General information

NPI: 1811845274
Provider Name (Legal Business Name): EVERWELL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 SAINT ANDREW ST STE 14B
TARBORO NC
27886-2146
US

IV. Provider business mailing address

PO BOX 955 E FRONT ST
CLAYTON NC
27528-0955
US

V. Phone/Fax

Practice location:
  • Phone: 919-397-7667
  • Fax:
Mailing address:
  • Phone: 919-397-7667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAMEIKA SMITH
Title or Position: CEO/MEMBER
Credential:
Phone: 919-397-7667