Organization
ELEVATE BEHAVIORAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ANTON LCSW (OWNER)
(678) 203-4612
Entity
Organization
Contact information
Practice address
15 PERRY ST STE 462, NEWNAN, GA 30263-1918
(334) 477-7527
Mailing address
80 DUCK POND WAY, SENOIA, GA 30276-3596
(334) 477-7527
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/12/2024
Last updated
02/21/2024
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