| Elevated Minds Aba Llc | |
|
3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 | |
| (912) 572-0288 | |
| Not Available |
| Full Name | Elevated Minds Aba Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 3801 Us Hwy 17 Ste 500, Richmondhill, Georgia |
| Authorized Official Name and Position | Dasyae Thompson (OWNER) |
| Authorized Official Contact | 4109162936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Minds Aba Llc 3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 Ph: (410) 916-2936 | Elevated Minds Aba Llc 3801 Us Hwy 17 Ste 500 #1045 Richmondhill GA 31324 Ph: (912) 572-0288 |
| NPI Number | 1235950908 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235950908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |