Organization
ELEVATING MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE WILCOX (OWNER)
(702) 490-2786
Entity
Organization
Contact information
Practice address
1632 KITTYHAWK DR, LITTLE ELM, TN 75068
(702) 490-2786
Mailing address
1632 KITTYHAWK DR, LITTLE ELM, TN 75068
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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