Organization
ELEVATION & ENRICHMENT THERAPEUTIC SERVICES
Active
Parent organization
ELEVATION & ENRICHMENT THERAPEUTIC SERVICES
Other names
Elevation & Enrichment Services-Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELEVATION & ENRICHMENT THERAPEUTIC SERVICES
Authorized official
DARRELL COLEMAN (CEO)
(301) 276-5312
Entity
Organization
Contact information
Practice address
3900 PENN BELT PL STE B, DISTRICT HEIGHTS, MD 20747-4734
(301) 276-5312
Mailing address
4305 TUCKERMAN ST, UNIVERSITY PARK, MD 20782-2146
(910) 797-9218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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