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EVA LIFE GIVER INC. NPI 1831622315


NPI Information

NPI: 1831622315
Provider Name: EVA LIFE GIVER INC.

Doing Business As: DEVAUGHN INTERVENTION TEACH AND TREAT OPTIONS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4804 YORK RD STE 2
BALTIMORE, MD
ZIP 21212
Phone: (443) 271-8046
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EVA LIFE GIVER INC. is a mental health counselor in Baltimore, MD. EVA LIFE GIVER INC. NPI is 1831622315. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Devaughn Intervention Teach And Treat Options.

The provider's business location address is:

4804 YORK RD STE 2
BALTIMORE, MD
ZIP 21212-401
Phone: (443) 271-8046
Fax: (443) 873-8958

The provider's authorized official is Eva Devaughn .
The authorized official title is Executive Director and has the following contact phone number (443) 271-8046.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1570127901MEDICAIDMARYLAND
2570127900MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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