Eve Evens

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1352 Scott Dr Unit 1464
Douglasville, GA 30134-2972

Phone

(617) 869-1763

NPI assigned

Mar 23, 2020

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eve Ruby Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Douglasville, GA
  • NPI 1366147357
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1346877180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8486 CAMPBELLTON ST",
            "address_2": "UNIT 1464",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343435",
            "telephone_number": "404-590-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 SCOTT DR UNIT 1464",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342972",
            "telephone_number": "617-869-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENS",
        "first_name": "EVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eternal Ivy Foundation Inc.
• Jane M Eubanks
• Jill Elizabeth Euteneuer, M.D.
• Eve Ruby Therapy LLC
• Evenna Mental Wellness
• Evergreen Behavioral Management of Georgia, Inc.
• Everlasting Life Senior Care (Everlasting Life)
• Excel Allied Health Services LLC
• Excel Allied Health Services LLC
• Tina Chinwenwa Ezeh

• Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.