Organization
ELEVATED MIND AND WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOCCARA C COLEMAN (OWNER)
(859) 321-9676
Entity
Organization
Contact information
Practice address
219 PATCHEN DR APT 1504, LEXINGTON, KY 40517-4438
(859) 303-8801
(859) 972-0383
Mailing address
219 PATCHEN DR APT 1504, LEXINGTON, KY 40517-4438
(859) 303-8801
(859) 972-0383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164426
STATE LICENSE
KY
01
—
254546
STATE LICENSE
KY
05
—
7100704390
—
KY
Enumeration date
07/10/2025
Last updated
04/29/2026
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