Elevating Minds LLC
Organization Active NPI Clinic/Center · Little Elm, TN
NPI 1053087445 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1053087445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ELEVATING MINDS LLC
- Practice address
- 1632 Kittyhawk Dr
Little Elm, TN 75068 - Phone
- (702) 490-2786
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Charmaine Wilcox
- Title
- Owner
- Phone
- (702) 490-2786
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1632 Kittyhawk Dr
Little Elm, TN 75068
Mailing address
1632 Kittyhawk Dr
Little Elm, TN 75068
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.