| The Elevated Mind Collective Llc | |
|
9574 Killenney Pl Waldorf MD 20601-3849 | |
| (571) 474-2750 | |
| Not Available |
| Full Name | The Elevated Mind Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9574 Killenney Pl, Waldorf, Maryland |
| Authorized Official Name and Position | Tiffany Michelle Perry-wilson (CHIEF EXECUTIVE OFFICER/OWNER) |
| Authorized Official Contact | 5715874844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elevated Mind Collective Llc 9574 Killenney Pl Waldorf MD 20601-3849 Ph: (571) 587-4844 | The Elevated Mind Collective Llc 9574 Killenney Pl Waldorf MD 20601-3849 Ph: (571) 474-2750 |
| NPI Number | 1497639850 |
|---|---|
| Provider Enumeration Date | 07/31/2025 |
| Last Update Date | 07/31/2025 |
| Certification Date | 07/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497639850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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