Elevated Minds Aba Llc | |
3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 | |
(912) 572-0288 | |
Not Available |
Full Name | Elevated Minds Aba Llc |
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Speciality | Behavior Technician |
Location | 3801 Us Hwy 17 Ste 500, Richmondhill, Georgia |
Authorized Official Name and Position | Dasyae Thompson (OWNER) |
Authorized Official Contact | 4109162936 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elevated Minds Aba Llc 3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 Ph: (410) 916-2936 | Elevated Minds Aba Llc 3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 Ph: (912) 572-0288 |
NPI Number | 1235950908 |
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Provider Enumeration Date | 10/24/2024 |
Last Update Date | 10/24/2024 |
Certification Date | 10/24/2024 |
Identifier | Type | State | Issuer |
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1235950908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106S00000X | Behavior Technician | (* (Not Available)) | Primary |