Organization
ELEVATION EQUITHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN TEIGEN MSW, LCSW-C, LCSW (DIRECTOR)
(804) 586-4278
Entity
Organization
Contact information
Practice address
303 DEWEY DR, ANNAPOLIS, MD 21401-2246
(443) 776-1863
Mailing address
701 MOUNTAIN VIEW RD, APPOMATTOX, VA 24522-9856
(804) 586-4278
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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