Provider Demographics
NPI:1811687825
Name:ELEVER COACHING AND COUNSELING
Entity type:Organization
Organization Name:ELEVER COACHING AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOMILER
Authorized Official - Middle Name:ELIE
Authorized Official - Last Name:PHANOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-349-0574
Mailing Address - Street 1:4 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-7311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 TWIN HILL DR
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3738
Practice Address - Country:US
Practice Address - Phone:609-491-1804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty