Organization
ELEVATE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE CANARIOS BARILLA (CEO)
(214) 271-9962
Entity
Organization
Contact information
Practice address
5160 VILLAGE CREEK DR STE 100, PLANO, TX 75093-4423
(214) 271-9962
(214) 964-0817
Mailing address
5160 VILLAGE CREEK DR STE 100, PLANO, TX 75093-4423
(214) 271-9962
(214) 964-0817
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3663353
—
TX
05
—
4012718
—
TX
Enumeration date
12/29/2018
Last updated
08/18/2022
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