| Elevated Living Services Llc | |
|
510 S Sycamore St Ste 3 Petersburg VA 23803-5044 | |
| (804) 583-8036 | |
| Not Available |
| Full Name | Elevated Living Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 510 S Sycamore St Ste 3, Petersburg, Virginia |
| Authorized Official Name and Position | Priscilla Lassiter (OWNER) |
| Authorized Official Contact | 8045838036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Living Services Llc 7720 Secretariat Ct Midlothian VA 23112-6449 Ph: (804) 583-8036 | Elevated Living Services Llc 510 S Sycamore St Ste 3 Petersburg VA 23803-5044 Ph: (804) 583-8036 |
| NPI Number | 1740047471 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740047471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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