# ELEVARE IN MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043123201
- **Authorized official:** CHANTEL WHITE LCSW (CO-OWNER/CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (317) 563-1117

## Contact information

- **Practice address:** 3621 26TH ST, MERIDIAN, MS 39307-4547
- **Practice address phone:** (317) 563-1117
- **Practice address fax:** (317) 608-3436
- **Mailing address:** 3621 26TH ST, MERIDIAN, MS 39307-4547
- **Mailing address phone:** (317) 563-1117
- **Mailing address fax:** (317) 608-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026