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Organization

ELEVATE HEALING AND PERFORMANCE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LASHELL WEST LLC (CLINICIAN)
(313) 721-8022
Entity
Organization

Contact information

Practice address
22080 RIVER RIDGE TRL, FARMINGTON HILLS, MI 48335-4666
(313) 721-8022
Mailing address
22080 RIVER RIDGE TRL, FARMINGTON HILLS, MI 48335-4666
(313) 721-8022

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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