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Organization
ELEVATION ECOTHERAPY PLC
Active
Organization
ELEVATION ECOTHERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN TEIGEN MSW, LCSW, LCSW-C (EXECUTIVE DIRECTOR)
(804) 586-4278
Entity
Organization
Contact information
Practice address
209 MADISON ST., FL 3 STE 320B, ALEXANDRIA, VA 22314-1764
(804) 586-4278
Mailing address
701 MOUNTAIN VIEW RD, APPOMATTOX, VA 24522-9856
(804) 586-4278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
05/17/2023
Last updated
04/01/2025
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