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Organization
ELEVATE AND EDUCATE
Active
Organization
ELEVATE AND EDUCATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN JACOB M.ED. (MEMBER)
(504) 559-2669
Entity
Organization
Contact information
Practice address
429 W AIRLINE HWY STE A, LA PLACE, LA 70068-3817
(985) 359-5600
Mailing address
100 JORDAN CT, LA PLACE, LA 70068-5802
(504) 559-2669
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/01/2024
Last updated
08/15/2025
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