Elevate Treatment Services, Llc | |
1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079 | |
(601) 502-3629 | |
Not Available |
Full Name | Elevate Treatment Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi |
Authorized Official Name and Position | Leo Williams (OWNER/OPERATOR) |
Authorized Official Contact | 6015023629 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elevate Treatment Services, Llc Po Box 1087 Madison MS 39130-1087 Ph: (601) 502-3629 | Elevate Treatment Services, Llc 1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079 Ph: (601) 502-3629 |
NPI Number | 1164983128 |
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Provider Enumeration Date | 03/30/2019 |
Last Update Date | 03/30/2019 |
Identifier | Type | State | Issuer |
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1164983128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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