Organization
ELEVATED MINDSET THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LAVELLE LPC (OWNER)
(571) 230-4205
Entity
Organization
Contact information
Practice address
501 CHURCH ST NE STE 212, VIENNA, VA 22180-4734
(571) 230-4205
Mailing address
11730 INDIAN RIDGE RD, RESTON, VA 20191-3522
(571) 230-4205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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