# ELEVATION COUNSELING SERVICES PLLC

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

## Provider details

- **NPI number:** 1578110805
- **Authorized official:** TIARRA C CARTER LPC,LCAS (LPC/CEO)
- **Authorized official phone:** (336) 908-9936

## Contact information

- **Practice address:** 1922 S MARTIN LUTHER KING JR DR STE 27, WINSTON SALEM, NC 27107-1361
- **Practice address phone:** (336) 908-9936
- **Mailing address:** 1922 S. MARTIN LUTHER KING JR. DR., BOX 4, WINSTON SALEM, NC 27107
- **Mailing address phone:** (336) 908-9936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019