Provider Demographics
NPI:1730859950
Name:ELEVATION COUNSELING & COACHING, LLC
Entity type:Organization
Organization Name:ELEVATION COUNSELING & COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-272-0290
Mailing Address - Street 1:20727 RAINMEAD DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1834
Mailing Address - Country:US
Mailing Address - Phone:216-272-0290
Mailing Address - Fax:
Practice Address - Street 1:5600 NW CENTRAL DR STE 287
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2060
Practice Address - Country:US
Practice Address - Phone:832-736-8567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty