Organization · NPI-2

Blueprint Elevation Therapy, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Round Rock, TX

NPI number1417815903
StatusActive
Last updated in NPPESJan 13, 2026

Details

NPI
1417815903
Entity type
Organization (NPI-2)
Legal business name
Blueprint Elevation Therapy, LLC
Organization subpart
No
Enumeration date
Jan 13, 2026
Certification date
Jan 11, 2026
Last updated
Jan 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

599 University Blvd Apartment 433
Round Rock, TX 78665

Phone 832-263-2765

Mailing address

10900 Research Blvd Ste 160c
Austin, TX 78759-5718

Phone 832-263-2765

Authorized official

Nkeiruka Maduike
Owner
8322632765

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