Healthcare Provider Details

I. General information

NPI: 1811825631
Provider Name (Legal Business Name): ELEVATE HEALTH AND WELLNESS CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W CAMPHOR AVE STE B
FOLEY AL
36535-3519
US

IV. Provider business mailing address

105 W CAMPHOR AVE STE B
FOLEY AL
36535-3519
US

V. Phone/Fax

Practice location:
  • Phone: 844-641-6401
  • Fax: 844-641-6401
Mailing address:
  • Phone: 844-641-6401
  • Fax: 844-641-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTY BEARD
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 844-641-6401