| Elevation Ecotherapy Plc | |
|
2001 Mount Vernon Ave Alexandria VA 22301-1309 | |
| (804) 586-4278 | |
| Not Available |
| Full Name | Elevation Ecotherapy Plc |
|---|---|
| Speciality | Social Worker |
| Location | 2001 Mount Vernon Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Erin Teigen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8045864278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Ecotherapy Plc 701 Mountain View Rd Appomattox VA 24522-9856 Ph: (804) 586-4278 | Elevation Ecotherapy Plc 2001 Mount Vernon Ave Alexandria VA 22301-1309 Ph: (804) 586-4278 |
| NPI Number | 1417648601 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 3779028196 |
|---|---|
| Medicare Enrollment ID | O20240710002263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417648601 | NPI | - | NPPES |
| Provider Name | Erin Teigen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669068086 PECOS PAC ID: 0941604326 Enrollment ID: I20240710002448 |
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