# ELEVATION ETX PLLC

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

## Provider details

- **NPI number:** 1376495044
- **Authorized official:** SUSAN BROOKE BAGWELL LPC (OWNER)
- **Authorized official phone:** (903) 258-1675

## Contact information

- **Practice address:** 2341 DUELING OAKS DR STE 200, TYLER, TX 75703-0328
- **Practice address phone:** (903) 258-1675
- **Mailing address:** 2341 DUELING OAKS DR STE 200, TYLER, TX 75703-0328
- **Mailing address phone:** (903) 258-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2026
- **Last updated:** 02/13/2026