NPI 1033436787 ELEVATE LIFE NORTH LAS VEGAS NV. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Elevate Life - NPI: 1033436787

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: ELEVATE LIFE
NPI Number: 1033436787
Entity Type Code: Organizational (2)
Authorized Official Name: WILLIE PEARL JACKSON
(OWNER)
Mailing Address: 2605 Rainbow Glow St
North Las Vegas
State: NV US
Postal Code: 890303709
Phone Number: 7026305009
Fax Number:
NPI Enumeration Date: 04/20/2010
NPI Last Update Date: 04/20/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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