Healthcare Provider Details

I. General information

NPI: 1134047657
Provider Name (Legal Business Name): ELEVATE MENTAL HEALTH GROUP OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 SW 37TH TER
MIAMI FL
33165-3857
US

IV. Provider business mailing address

10301 SW 37TH TER
MIAMI FL
33165-3857
US

V. Phone/Fax

Practice location:
  • Phone: 786-286-8131
  • Fax:
Mailing address:
  • Phone: 786-286-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA MARTIN GALEGO
Title or Position: CO-FOUNDER
Credential: LCSW
Phone: 786-286-8131