# ELEVATE LLC

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

## Provider details

- **NPI number:** 1396341145
- **Authorized official:** CHARLES RICHARD HENLEY (CEO)
- **Authorized official phone:** (401) 287-8302

## Contact information

- **Practice address:** 333 MAIN ST STE 1, EAST GREENWICH, RI 02818-3660
- **Practice address phone:** (401) 447-2369
- **Mailing address:** 79 SEACREST LN, WARWICK, RI 02889-5453
- **Mailing address phone:** (401) 447-2369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/08/2020