Organization
ELEVATED LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA LASSITER (OWNER)
(804) 583-8036
Entity
Organization
Contact information
Practice address
510 S SYCAMORE ST STE 3, PETERSBURG, VA 23803-5044
(804) 583-8036
Mailing address
7720 SECRETARIAT CT, MIDLOTHIAN, VA 23112-6449
(804) 583-8036
(804) 535-4955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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