Organization
ELEVATE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LACEY (EXECUTIVE DIRECTOR)
(770) 539-4988
Entity
Organization
Contact information
Practice address
420 W MAGNOLIA ST, LAKELAND, FL 33815
(863) 213-3300
Mailing address
7027 ESTATE RD, LAKELAND, FL 33809-2274
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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