Provider Demographics
| NPI: | 1639935208 |
|---|---|
| Name: | EVER FREE LLC |
| Entity type: | Organization |
| Organization Name: | EVER FREE LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | BRITTANY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | THOMPSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCCA, RN, SANE |
| Authorized Official - Phone: | 325-370-7263 |
| Mailing Address - Street 1: | PO BOX 116 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BOERNE |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78006-0116 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 325-370-7263 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 16 ALLEN RD |
| Practice Address - Street 2: | |
| Practice Address - City: | COMFORT |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78013-3006 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 833-425-0037 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-02-22 |
| Last Update Date: | 2024-12-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 163WA0400X | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | Group - Multi-Specialty | |
| No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management | Group - Multi-Specialty |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
