| Elevate Hope | |
|
502 E 2nd Ave Crestview FL 32536-2514 | |
| (601) 791-1054 | |
| Not Available |
| Full Name | Elevate Hope |
|---|---|
| Speciality | Social Worker |
| Location | 502 E 2nd Ave, Crestview, Florida |
| Authorized Official Name and Position | Jessica Myers (OWNER) |
| Authorized Official Contact | 8503683592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Hope 205 Wheat Dr Crestview FL 32536-5605 Ph: (850) 368-3592 | Elevate Hope 502 E 2nd Ave Crestview FL 32536-2514 Ph: (601) 791-1054 |
| NPI Number | 1275126781 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Medicare PECOS PAC ID | 9436564580 |
|---|---|
| Medicare Enrollment ID | O20210223001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275126781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica R Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275074064 PECOS PAC ID: 8729365754 Enrollment ID: I20170501000885 |
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