Healthcare Provider Details

I. General information

NPI: 1851241095
Provider Name (Legal Business Name): ELEVATEEVOLVEBEHAVIORALHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4913 FITZHUGH AVE STE 206
RICHMOND VA
23230-3540
US

IV. Provider business mailing address

7716 BOGEY PL
GLEN ALLEN VA
23059-7416
US

V. Phone/Fax

Practice location:
  • Phone: 804-298-0986
  • Fax:
Mailing address:
  • Phone: 804-298-0986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIARA LIGGONS
Title or Position: OWNER
Credential:
Phone: 804-298-0986