| Elevate Behavioral Health And Wellness Llc | |
|
15 Perry St Ste 462 Newnan GA 30263-1918 | |
| (334) 477-7527 | |
| Not Available |
| Full Name | Elevate Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Perry St Ste 462, Newnan, Georgia |
| Authorized Official Name and Position | Kristen Anton (OWNER) |
| Authorized Official Contact | 6782034612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Behavioral Health And Wellness Llc 80 Duck Pond Way Senoia GA 30276-3596 Ph: (334) 477-7527 | Elevate Behavioral Health And Wellness Llc 15 Perry St Ste 462 Newnan GA 30263-1918 Ph: (334) 477-7527 |
| NPI Number | 1568226215 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 5496192015 |
|---|---|
| Medicare Enrollment ID | O20240319001493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568226215 | NPI | - | NPPES |
| Provider Name | Kristen Anton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881967420 PECOS PAC ID: 9032556667 Enrollment ID: I20240319001591 |
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