Healthcare Provider Details
I. General information
NPI: 1124934195
Provider Name (Legal Business Name): EVERWELL HEALTH COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 JEFFS WAY STE 4
CLEAR BROOK VA
22624-1691
US
IV. Provider business mailing address
115 JEFFS WAY STE 4
CLEAR BROOK VA
22624-1691
US
V. Phone/Fax
- Phone: 826-208-1834
- Fax:
- Phone: 826-208-1834
- Fax: 877-505-4167
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
LONAS
Title or Position: CO-OWNER
Credential: FNP-C
Phone: 540-931-1377