Healthcare Provider Details

I. General information

NPI: 1023973146
Provider Name (Legal Business Name): ELEVATION COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4370 STARKEY RD STE 4D
ROANOKE VA
24018-0603
US

IV. Provider business mailing address

4370 STARKEY RD STE 4D
ROANOKE VA
24018-0603
US

V. Phone/Fax

Practice location:
  • Phone: 540-404-2332
  • Fax:
Mailing address:
  • Phone: 540-404-2332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LEE MICHAEL SWEENEY
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPC
Phone: 540-404-2332