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Organization

ELEVATEWELL CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER IBHAWAEGBELE (MANGER)
(702) 850-1614
Entity
Organization

Contact information

Practice address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 850-1614
Mailing address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 850-1614

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM1300X
Multi-Specialty Clinic/Center
261QR1100X
Research Clinic/Center

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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