Healthcare Provider Details

I. General information

NPI: 1003745407
Provider Name (Legal Business Name): ELEVATE BEHAVIORAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 OAKLEY INDUSTRIAL BLVD APT 3101
FAIRBURN GA
30213-4490
US

IV. Provider business mailing address

5605 OAKLEY INDUSTRIAL BLVD APT 3101
FAIRBURN GA
30213-4490
US

V. Phone/Fax

Practice location:
  • Phone: 864-434-8874
  • Fax:
Mailing address:
  • Phone: 864-434-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIE MERRITT
Title or Position: OWNER
Credential:
Phone: 864-434-8874