Elevate Mental Health PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Georgetown, TX. Organization (NPI-2).
NPI number1013730134
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1013730134
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Mental Health PLLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2024
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
3613 Williams Dr Ste 1004Georgetown, TX 78628-1376
Phone 512-729-1800 · Fax 737-275-3466
Mailing address
3613 Williams Dr Ste 1004Georgetown, TX 78628-1376
Phone 512-585-8468
Authorized official
James Petty
Ownership Member
5125858468
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