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Organization

ELEVATED CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD FULTON (OWNER)
(757) 337-9275
Entity
Organization

Contact information

Practice address
780 LYNNHAVEN PKWY STE 380, VIRGINIA BEACH, VA 23452-7332
(757) 337-9275
Mailing address
780 LYNNHAVEN PKWY STE 380, VIRGINIA BEACH, VA 23452-7332
(757) 337-9275

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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