| Elevate Together Llc | |
|
4134 Kennygreen Ct Randallstown MD 21133-5302 | |
| (410) 599-2460 | |
| Not Available |
| Full Name | Elevate Together Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4134 Kennygreen Ct, Randallstown, Maryland |
| Authorized Official Name and Position | Denielle Randall (CLINICAL SOCIAL WORKER/ FOUNDER) |
| Authorized Official Contact | 4105992460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Together Llc 4134 Kennygreen Ct Randallstown MD 21133-5302 Ph: (410) 599-2460 | Elevate Together Llc 4134 Kennygreen Ct Randallstown MD 21133-5302 Ph: (410) 599-2460 |
| NPI Number | 1457956971 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457956971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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