Organization
ELEVATE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WELDLER (MANAGER)
(773) 919-9351
Entity
Organization
Contact information
Practice address
2002 BREMO RD STE 202, RICHMOND, VA 23226-2441
(773) 919-9351
Mailing address
2002 BREMO RD STE 202, RICHMOND, VA 23226-2441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/06/2024
Last updated
11/20/2024
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