| Elivate Wellness LLC | |
|
1707 Cedar Grove Rd Shepherdsville KY 40165-8572 | |
| (502) 338-2561 | |
| Not Available |
| Full Name | Elivate Wellness LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1707 Cedar Grove Rd, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Olivia Stivers (OWNER) |
| Authorized Official Contact | 5023382561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elivate Wellness LLC 2222 Mount Carmel Church Rd Lebanon Junction KY 40150-8269 Ph: (502) 338-2561 | Elivate Wellness LLC 1707 Cedar Grove Rd Shepherdsville KY 40165-8572 Ph: (502) 338-2561 |
| NPI Number | 1457006660 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457006660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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