NPIMap

Organization Active NPI

Eva Life Giver Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1831622315
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EVA LIFE GIVER INC.
Practice address
4804 York Rd Ste 2
Baltimore, MD 21212-4401
Phone
(443) 271-8046
Fax
(443) 873-8958
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Ms. Eva Devaughn, MS, CAC-AD
Title
Executive Director
Phone
(443) 271-8046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4804 York Rd Ste 2
Baltimore, MD 21212-4401

Mailing address

5003 Ardmore Way
Baltimore, MD 21206-5004
Phone (443) 271-8046

Other identifiers 2

IdentifierTypeStateIssuer
570127901MedicaidMD
570127900MedicaidMD

Other names 1

  • DeVaughn Intervention Teach and Treat Options Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.evalifegiver.org
Direct Messaging Address info@evalifegiver.org

National Provider Directory

National Provider Directory
Tax ID family
Devaughn Intervention Teach and Treat Options8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5900 York Rd
Ste 205
Baltimore, MD 21212

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1831622315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 ARDMORE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065004",
            "telephone_number": "443-271-8046",
            "fax_number": "443-873-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 YORK RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124401",
            "telephone_number": "443-271-8046",
            "fax_number": "443-873-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA LIFE GIVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "DEVAUGHN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-271-8046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570127901",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570127900",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evalifegiver.org",
            "affiliation": "N",
            "address_1": "4804 York Rd Ste 2",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212124401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@evalifegiver.org",
            "affiliation": "N",
            "address_1": "4804 York Rd Ste 2",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212124401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeVaughn Intervention Teach and Treat Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.