Organization
ELEVATE YOURSELF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM WEISS (DIRECTOR)
(845) 537-5620
Entity
Organization
Contact information
Practice address
5 KERESTIER CT, UNIT # 006, MONROE, NY 10950-1951
(845) 537-5620
Mailing address
4 KERESTIER CT UNIT 406, MONROE, NY 10950-1948
(845) 537-5620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
311Z00000X
Custodial Care Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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