Provider Demographics
NPI:1215818349
Name:EVERNINE WELLNESS LLC
Entity type:Organization
Organization Name:EVERNINE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARMARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-251-5418
Mailing Address - Street 1:246C CHURCH ST NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4737
Mailing Address - Country:US
Mailing Address - Phone:704-251-5418
Mailing Address - Fax:
Practice Address - Street 1:246C CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4737
Practice Address - Country:US
Practice Address - Phone:704-706-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty