# ELEVATED COUNSELING SERVICES LLC

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

## Provider details

- **NPI number:** 1619548625
- **Authorized official:** EBONY PORTIS LCSW (LCSW/MANAGING MEMBER)
- **Authorized official phone:** (210) 864-4936

## Contact information

- **Practice address:** 1777 NE LOOP 410 STE 600-675, SAN ANTONIO, TX 78217-5209
- **Practice address phone:** (108) 644-9362
- **Practice address fax:** (239) 494-8397
- **Mailing address:** 17460 I-35 NORTH SUITE 430 378, SCHERTZ, TX 78154
- **Mailing address phone:** (210) 660-8679

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2021
- **Last updated:** 11/10/2021