Elevate Healthcare - Irving LLC
Clinic/Center, Adolescent and Children Mental Health in Plano, TX. Organization (NPI-2).
NPI number1164092847
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1164092847
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Healthcare - Irving LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 25, 2021
- Certification date
- May 25, 2022
- Last updated
- Aug 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 283Q00000X | Psychiatric Hospital | – | – |
Practice location
5160 Village Creek Dr Ste 100Plano, TX 75093-4423
Phone 214-271-9962 · Fax 214-964-0817
Mailing address
5160 Village Creek Dr Ste 100Plano, TX 75093-4423
Phone 214-271-9962 · Fax 214-964-0817
Authorized official
Margie Barilla
Founder/President
2142719962
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All 12 Adolescent and Children Mental Health Clinic/Center providers in Plano · All 11,027 providers in Plano
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