Healthcare Provider Details

I. General information

NPI: 1003601006
Provider Name (Legal Business Name): ELEVATE HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CONGRESSIONAL LN STE 316
ROCKVILLE MD
20852-1542
US

IV. Provider business mailing address

650 PENNSYLVANIA AVE SE STE 330
WASHINGTON DC
20003-4397
US

V. Phone/Fax

Practice location:
  • Phone: 240-221-3116
  • Fax:
Mailing address:
  • Phone: 202-610-9570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHARLETTA WASHINGTON
Title or Position: MANAGER
Credential:
Phone: 240-230-7090