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General NPI Number Information
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NPI Number | 1023814597
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Entity Type | Organization
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Legal Business Name | ELEVATED CARE SERVICES LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1015 EAGLE ST STE 3
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City | HOUSTON
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State | TX
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Zip | 77002-9607
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Country | US
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Telephone | 925-877-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 BASIN PARK DR
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City | MANVEL
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State | TX
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Zip | 77578-2163
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Country | US
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Telephone | 925-877-5250
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMARKIS BUCHANAN
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Credential |
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Telephone | 925-877-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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