Provider Demographics
NPI:1528405297
Name:ELEVATE COUNSELING AND CLINICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:ELEVATE COUNSELING AND CLINICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMICA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:LAFRANQUE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:980-230-7517
Mailing Address - Street 1:229 TRIBUNE DR.
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214
Mailing Address - Country:US
Mailing Address - Phone:980-230-7517
Mailing Address - Fax:
Practice Address - Street 1:107220 CARMEL COMMONS BLVD.
Practice Address - Street 2:STE. 320
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226
Practice Address - Country:US
Practice Address - Phone:980-230-7517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7099251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health