Organization
FOUNDATION FOR ELEVATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHAE D SYKES (CEO)
(804) 255-3157
Entity
Organization
Contact information
Practice address
224 N MAIN ST STE 102, HOPEWELL, VA 23860-2700
(804) 255-3157
Mailing address
11329 CEDAR RUN RD, SOUTH PRINCE GEORGE, VA 23805-4105
(804) 255-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
10/17/2024
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