Provider Demographics
NPI:1700675642
Name:ELAVATE PLLC
Entity type:Organization
Organization Name:ELAVATE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISW
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-867-0626
Mailing Address - Street 1:1045 76TH ST UNIT 3025
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5913
Mailing Address - Country:US
Mailing Address - Phone:515-867-0626
Mailing Address - Fax:
Practice Address - Street 1:1045 76TH ST UNIT 3025
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5913
Practice Address - Country:US
Practice Address - Phone:515-867-0626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty