| Foundation For Elevation Llc | |
|
224 N Main St Ste 102 Hopewell VA 23860-2700 | |
| (804) 255-3157 | |
| Not Available |
| Full Name | Foundation For Elevation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 224 N Main St Ste 102, Hopewell, Virginia |
| Authorized Official Name and Position | Lashae D Sykes (CEO) |
| Authorized Official Contact | 8042553157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation For Elevation Llc 11329 Cedar Run Rd South Prince George VA 23805-4105 Ph: (804) 255-3157 | Foundation For Elevation Llc 224 N Main St Ste 102 Hopewell VA 23860-2700 Ph: (804) 255-3157 |
| NPI Number | 1578395877 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578395877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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