Healthcare Provider Details

I. General information

NPI: 1093677494
Provider Name (Legal Business Name): ELEVATE COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37721 HIXFORD PL
WESTLAND MI
48185-3364
US

IV. Provider business mailing address

4444 2ND AVE STE 36042
DETROIT MI
48201-1216
US

V. Phone/Fax

Practice location:
  • Phone: 248-510-8990
  • Fax:
Mailing address:
  • Phone: 248-518-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRANDI MCKENZIE
Title or Position: OWNER
Credential: LMSW
Phone: 248-510-8990