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Organization
TEAM ELEVATE, LLC
Active
Organization
TEAM ELEVATE, LLC
Active
Other names
Elevate
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERYN LUCAS LICENSED PSYCHOLOGIS (MANAGING MEMBER)
(409) 883-2273
Entity
Organization
Contact information
Practice address
807 HENDERSON AVE, ORANGE, TX 77630-6325
(409) 883-2273
Mailing address
807 HENDERSON AVE, ORANGE, TX 77630
(409) 883-2273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
65169
TX
103T00000X
Psychologist
34297
TX
225X00000X
Occupational Therapist
Primary
114089
TX
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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