Organization
ELEVATED MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESHE GRIMES LCPC (CEO)
(202) 420-0227
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 766-5295
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 766-5295
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MD
Enumeration date
04/14/2020
Last updated
04/14/2020
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