| Elevate | |
|
807 Henderson Ave Orange TX 77630-6325 | |
| (409) 883-2273 | |
| Not Available |
| Full Name | Elevate |
|---|---|
| Speciality | Occupational Therapist |
| Location | 807 Henderson Ave, Orange, Texas |
| Authorized Official Name and Position | Eryn Lucas (MANAGING MEMBER) |
| Authorized Official Contact | 4098832273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate 807 Henderson Ave Orange TX 77630 Ph: (409) 883-2273 | Elevate 807 Henderson Ave Orange TX 77630-6325 Ph: (409) 883-2273 |
| NPI Number | 1467983031 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467983031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 65169 (Texas) | Secondary |
| 103T00000X | Psychologist | 34297 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 114089 (Texas) | Primary |
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