Elevation Therapy Group LLC
NPI #1265016539 in Millersville, Maryland
Provider Information
- NPI Number
- 1265016539
- Entity Type
- Organization
- Organization Name
- Elevation Therapy Group LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 12, 2021
- Last Updated
- Dec 28, 2022
Practice Location
- Address
- 1110 BENFIELD BLVD STE H
- City
- Millersville
- State
- Maryland
- ZIP Code
- 21108-2644
- Phone
- (443) 845-0012
Authorized Official
- Name
- MR. ADAM L IACARINO, LCPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (443) 845-0012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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