# ELEVATED MIND AND WELLNESS GROUP

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

## Provider details

- **NPI number:** 1487545190
- **Authorized official:** TOCCARA C COLEMAN (OWNER)
- **Authorized official phone:** (859) 321-9676

## Contact information

- **Practice address:** 219 PATCHEN DR APT 1504, LEXINGTON, KY 40517-4438
- **Practice address phone:** (859) 303-8801
- **Practice address fax:** (859) 972-0383
- **Mailing address:** 219 PATCHEN DR APT 1504, LEXINGTON, KY 40517-4438
- **Mailing address phone:** (859) 303-8801
- **Mailing address fax:** (859) 972-0383

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2025
- **Last updated:** 04/29/2026