| Elev8ted Perspectives Consultation Services | |
|
606 Johnson Ave Ste 17 Bohemia NY 11716-2688 | |
| (631) 800-1975 | |
| (631) 693-2798 |
| Full Name | Elev8ted Perspectives Consultation Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 606 Johnson Ave Ste 17, Bohemia, New York |
| Authorized Official Name and Position | Laquetta Dashea Solomon (OWNER) |
| Authorized Official Contact | 6318001975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elev8ted Perspectives Consultation Services Po Box 401 Medford NY 11763-0401 Ph: (631) 800-1975 | Elev8ted Perspectives Consultation Services 606 Johnson Ave Ste 17 Bohemia NY 11716-2688 Ph: (631) 800-1975 |
| NPI Number | 1740659507 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740659507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 076748-1 (New York) | Primary |
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