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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