Organization
ELEVATION ETX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BROOKE BAGWELL LPC (OWNER)
(903) 258-1675
Entity
Organization
Contact information
Practice address
2341 DUELING OAKS DR STE 200, TYLER, TX 75703-0328
(903) 258-1675
Mailing address
2341 DUELING OAKS DR STE 200, TYLER, TX 75703-0328
(903) 258-1675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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