MEDICARE: EVERMORE THERAPY AND WELLNESS GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477264190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERMORE THERAPY AND WELLNESS GROUP LLC

Provider Business Mailing Address
First Line	:	1730 CARDINAL LN
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-8863
Country	:	US
Telephone Number	:	317-619-8964
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 PATRICK PL
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-2110
Country	:	US
Telephone Number	:	317-619-8964
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MEGAN ELDREDGE
Credential	:	LCSW
Telephone Number	:	317-619-8964

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	03/10/2026

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