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Organization
ELEVATEEQ HEALTH PLLC
Active
Organization
ELEVATEEQ HEALTH PLLC
Active
Other names
ElevateEQ Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNER OMODT (OWNER)
(612) 408-1431
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(612) 408-1431
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(612) 408-1431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
11/20/2025
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