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General NPI Number Information
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NPI Number | 1760971493
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Entity Type | Organization
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Legal Business Name | HOLISTIC ELEVATION LLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 3700 LANCASTER PIKE STE 305
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City | WILMINGTON
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State | DE
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Zip | 19805-1511
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Country | US
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Telephone | 302-278-0026
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Fax | 302-278-0047
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Provider Business Mailing Address
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Address Line | 2220 PORTER RD
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City | BEAR
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State | DE
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Zip | 19701-2022
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Country | US
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Telephone | 318-533-6695
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MRS. ALICE MURIEL STEVENS
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Credential | LPCMH
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Telephone | 302-278-0026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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