Provider Demographics
NPI:1114610920
Name:ELEVATE YOURSELF INC.
Entity Type:Organization
Organization Name:ELEVATE YOURSELF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-537-5620
Mailing Address - Street 1:4 KERESTIER CT UNIT 406
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1948
Mailing Address - Country:US
Mailing Address - Phone:845-537-5620
Mailing Address - Fax:
Practice Address - Street 1:5 KERESTIER CT
Practice Address - Street 2:UNIT # 006
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1951
Practice Address - Country:US
Practice Address - Phone:845-537-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child