Healthcare Provider Details

I. General information

NPI: 1386538593
Provider Name (Legal Business Name): EVERHOPE WELLNESS CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/26/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SUNBURY RD SUITES 6, 7, 8
DELAWARE OH
43015
US

IV. Provider business mailing address

560 SUNBURY RD SUITES 6, 7, 8
DELAWARE OH
43015-8692
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-7189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS RAYNER
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 801-815-3106