| Elevation Wellness | |
|
12613 Bristol Ave Baton Rouge LA 70815-6801 | |
| (225) 803-9462 | |
| Not Available |
| Full Name | Elevation Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12613 Bristol Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Julie Insyxiengmay (OWNER) |
| Authorized Official Contact | 2254328262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Wellness 12613 Bristol Ave Baton Rouge LA 70815-6801 Ph: (225) 317-2078 | Elevation Wellness 12613 Bristol Ave Baton Rouge LA 70815-6801 Ph: (225) 803-9462 |
| NPI Number | 1003563750 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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