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General NPI Number Information
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NPI Number | 1134072382
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Entity Type | Organization
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Legal Business Name | ELEVATEYOUTHANDFAMILYSERVICES@GMAIL.COM
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2373 BROOKMOOR LN
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4025
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Country | US
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Telephone | 227-204-8667
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Fax | 571-589-0125
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Provider Business Mailing Address
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Address Line | 2373 BROOKMOOR LN
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4025
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Country | US
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Telephone | 227-204-8667
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Fax | 571-589-0125
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Authorized Official
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Title or Position | OWNER
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Name | LA-TOYA PRESCOTT
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Credential |
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Telephone | 703-986-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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