Organization
ELEVATE COUNSELING & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA DARA SNYDER LCMHC, LCAS, NCC (FOUNDER/OWNER)
(336) 978-2580
Entity
Organization
Contact information
Practice address
632 HOLLY AVE, WINSTON SALEM, NC 27101-2716
(336) 281-5444
Mailing address
153 W KINDERTON WAY APT 103, ADVANCE, NC 27006-7392
(336) 978-2580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831697333
INDIVIDUAL NPI
—
Enumeration date
03/12/2022
Last updated
03/12/2022
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