Elevation Wellness
Social Worker, Clinical in Baton Rouge, LA. Organization (NPI-2).
NPI number1003563750
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1003563750
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevation Wellness
- Organization subpart
- No
- Enumeration date
- Mar 2, 2022
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
12613 Bristol AveBaton Rouge, LA 70815-6801
Phone 225-803-9462
Mailing address
12613 Bristol AveBaton Rouge, LA 70815-6801
Phone 225-317-2078
Authorized official
Julie Insyxiengmay
Owner
2254328262
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