Provider Demographics
NPI:1326763335
Name:ELEVATED HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:ELEVATED HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-NP / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:301-331-4135
Mailing Address - Street 1:19236 MEADOW VIEW DR STE 1
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2924
Mailing Address - Country:US
Mailing Address - Phone:301-331-4135
Mailing Address - Fax:
Practice Address - Street 1:19236 MEADOW VIEW DR STE 1
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2924
Practice Address - Country:US
Practice Address - Phone:301-331-4135
Practice Address - Fax:949-404-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty