Provider Demographics
NPI:1497325179
Name:ELEVATE HEALTHCARE - LONGVIEW LLC
Entity Type:Organization
Organization Name:ELEVATE HEALTHCARE - LONGVIEW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-843-8503
Mailing Address - Street 1:18333 PRESTON RD STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6144
Mailing Address - Country:US
Mailing Address - Phone:214-396-0717
Mailing Address - Fax:469-372-0129
Practice Address - Street 1:4001 TECHNOLOGY CTR STE 201
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-2758
Practice Address - Country:US
Practice Address - Phone:430-201-5381
Practice Address - Fax:430-201-5609
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELEVATE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No283Q00000XHospitalsPsychiatric Hospital