Organization
THE ELEVATED MIND COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MICHELLE PERRY-WILSON LPC, NCC (CHIEF EXECUTIVE OFFICER/OWNER)
(571) 587-4844
Entity
Organization
Contact information
Practice address
9574 KILLENNEY PL, WALDORF, MD 20601-3849
(571) 474-2750
Mailing address
9574 KILLENNEY PL, WALDORF, MD 20601-3849
(571) 587-4844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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