Provider Demographics
NPI:1972182319
Name:ELEVATE COUNSELING AND COACHING SERVICES LLC
Entity Type:Organization
Organization Name:ELEVATE COUNSELING AND COACHING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EUGENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-455-8350
Mailing Address - Street 1:9841 MEADOW VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-2527
Mailing Address - Country:US
Mailing Address - Phone:314-614-0039
Mailing Address - Fax:
Practice Address - Street 1:9841 MEADOW VIEW DR
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114
Practice Address - Country:US
Practice Address - Phone:314-614-0039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty