Organization
ENDELEA ELEVATE
Active
Parent organization
ENDELEA ELEVATE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENDELEA ELEVATE
Authorized official
MS. DOMINIQUE DAVIS (CLINICAL MANAGER)
(502) 615-9211
Entity
Organization
Contact information
Practice address
1939 GOLDSMITH LN STE 214, LOUISVILLE, KY 40218-3178
(502) 414-4380
Mailing address
660 S BAGDAD RD STE 420, LEANDER, TX 78641-5049
(502) 615-9211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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