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NPI Code Detail

MEDICARE: ELEVATING MINDS THERAPY PLLC

MEDICARE: ELEVATING MINDS THERAPY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316882285
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATING MINDS THERAPY PLLC
Provider Business Mailing Address
First Line : 6501 MEYER WAY APT 7156
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-1501
Country : US
Telephone Number : 469-817-4440
Fax Number :
Provider Business Practice Location Address
First Line : 6501 MEYER WAY APT 7156
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-1501
Country : US
Telephone Number : 940-473-1945
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : TERMAYNE WILLIE
Credential : LCSW, NPT-C
Telephone Number : 469-817-4440
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ELEVATING MINDS THERAPY PLLC ” Practice Location

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