| Elevated Counseling Services Llc | |
|
1777 Ne Loop 410 Ste 600-675 San Antonio TX 78217-5209 | |
| (108) 644-9362 | |
| (239) 494-8397 |
| Full Name | Elevated Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1777 Ne Loop 410 Ste 600-675, San Antonio, Texas |
| Authorized Official Name and Position | Ebony Portis (LCSW/MANAGING MEMBER) |
| Authorized Official Contact | 2108644936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Counseling Services Llc 17460 I-35 North Suite 430 378 Schertz TX 78154 Ph: (210) 660-8679 | Elevated Counseling Services Llc 1777 Ne Loop 410 Ste 600-675 San Antonio TX 78217-5209 Ph: (108) 644-9362 |
| NPI Number | 1619548625 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619548625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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