Provider Demographics
NPI:1982226742
Name:ELEVATE BEHAVIORAL SOLUTIONS
Entity Type:Organization
Organization Name:ELEVATE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./CEO
Authorized Official - Prefix:
Authorized Official - First Name:CORRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAROTTI SNIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-426-4111
Mailing Address - Street 1:PO BOX 11312
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32524-1312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4045 RENOIR ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504
Practice Address - Country:US
Practice Address - Phone:850-426-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty