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Organization
ENDELEA ELEVATE
Active
Organization
ENDELEA ELEVATE
Active
Parent organization
ENDELEA ELEVATE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENDELEA ELEVATE
Authorized official
MS. DOMINIQUE DAVIS (CLINICAL MANAGER)
(502) 615-9211
Entity
Organization
Contact information
Practice address
1939 GOLDSMITH LN STE 214, LOUISVILLE, KY 40218-3178
(502) 414-4380
Mailing address
660 S BAGDAD RD STE 420, LEANDER, TX 78641-5049
(502) 615-9211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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