# ELEVATED WELLNESS

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

## Provider details

- **NPI number:** 1063361947
- **Authorized official:** AMANDA S CLARK DNP, MSN, FNP-BC (OWNER, NURSE PRACTITIONER)
- **Authorized official phone:** (803) 667-5644

## Contact information

- **Practice address:** 2100 N BELTLINE BLVD, COLUMBIA, SC 29204-3905
- **Practice address phone:** (803) 667-5644
- **Mailing address:** 2100 N BELTLINE BLVD, COLUMBIA, SC 29204-3905
- **Mailing address phone:** (803) 667-5644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2026
- **Last updated:** 01/24/2026