Organization
ELEVATE HEALTHCARE - LONGVIEW LLC
Active
Parent organization
ELEVATE HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELEVATE HEALTHCARE LLC
Authorized official
MARGIE BARILLA (FOUNDER/PRESIDENT)
(214) 843-8503
Entity
Organization
Contact information
Practice address
4001 TECHNOLOGY CTR STE 201, LONGVIEW, TX 75605-2758
(430) 201-5381
(430) 201-5609
Mailing address
18333 PRESTON RD STE 310, DALLAS, TX 75252-6144
(214) 396-0717
(469) 372-0129
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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