NPI Code Details Logo

NPI 1013833649

NPI 1013833649 : EVERNEST FAMILY SERVICES LLC : KNOXVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1013833649
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EVERNEST FAMILY SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/27/2026
-----------------------------------------------------
    Last Update Date     |    06/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    116 AGNES RD STE 200 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37919-6306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-795-8351
-----------------------------------------------------
    Fax                  |    120-665-7466
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    116 AGNES RD STE 200 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37919-6306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-795-8351
-----------------------------------------------------
    Fax                  |    120-665-7466
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER /SOLE MEMBER
-----------------------------------------------------
    Name                 |     ELIZABETH BOSE WILLIAMS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    615-795-8351
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320600000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.