# ELEVATION ECOTHERAPY PLC

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

## Provider details

- **NPI number:** 1417648601
- **Authorized official:** ERIN TEIGEN MSW, LCSW, LCSW-C (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 586-4278

## Contact information

- **Practice address:** 209 MADISON ST., FL 3 STE 320B, ALEXANDRIA, VA 22314-1764
- **Practice address phone:** (804) 586-4278
- **Mailing address:** 701 MOUNTAIN VIEW RD, APPOMATTOX, VA 24522-9856
- **Mailing address phone:** (804) 586-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 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