Organization
ELEVATION COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIEL FELDMAN (OWNER)
(718) 501-8855
Entity
Organization
Contact information
Practice address
2510 LIGHTFOOT DR, BALTIMORE, MD 21209-1536
(443) 712-8185
Mailing address
2510 LIGHTFOOT DR, BALTIMORE, MD 21209-1536
(443) 712-8185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067676400
—
MD
Enumeration date
08/28/2019
Last updated
08/28/2019
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