Healthcare Provider Details

I. General information

NPI: 1346186111
Provider Name (Legal Business Name): ELEVARE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 SAINT LANDRY ST
LAFAYETTE LA
70506-3549
US

IV. Provider business mailing address

224 SAINT LANDRY ST
LAFAYETTE LA
70506-3549
US

V. Phone/Fax

Practice location:
  • Phone: 337-385-0877
  • Fax:
Mailing address:
  • Phone: 337-385-0877
  • Fax:

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: MRS. SHAVONDALI HARRIS CAWTHORNE
Title or Position: DNP, APRN, FNP-C PMHNP-C
Credential:
Phone: 318-469-6245