Healthcare Provider Details

I. General information

NPI: 1821929076
Provider Name (Legal Business Name): ELEVATE MENTAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE 12358
ATLANTA GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL STE 12358
ATLANTA GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 770-816-8746
  • Fax: 866-877-1543
Mailing address:
  • Phone: 770-816-8746
  • Fax: 866-877-1543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHANIKA BING TURNER
Title or Position: OWNER/ LEAD NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 770-816-8746