Organization
ELEVATION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GOLDSMITH LPC (SOLE PROPRIETOR)
(864) 214-5492
Entity
Organization
Contact information
Practice address
110B HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 214-5492
Mailing address
110B HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5809
SC
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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