| Elevating Minds LLC | |
|
1632 Kittyhawk Dr Little Elm TN 75068 | |
| (702) 490-2786 | |
| Not Available |
| Full Name | Elevating Minds LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1632 Kittyhawk Dr, Little Elm, Tennessee |
| Authorized Official Name and Position | Charmaine Wilcox (OWNER) |
| Authorized Official Contact | 7024902786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevating Minds LLC 1632 Kittyhawk Dr Little Elm TN 75068 | Elevating Minds LLC 1632 Kittyhawk Dr Little Elm TN 75068 Ph: (702) 490-2786 |
| NPI Number | 1053087445 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053087445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |