Organization
ELEVATED THERAPY FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NCIOLE HEAD LCSW (OWNER/PSYCHOTHERAPIST)
(813) 753-6860
Entity
Organization
Contact information
Practice address
4100 W KENNEDY BLVD STE 310, TAMPA, FL 33609-2290
(813) 710-5183
(813) 560-8346
Mailing address
4100 W KENNEDY BLVD STE 310, TAMPA, FL 33609-2290
(813) 710-5183
(813) 560-8346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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