Educate & Elevate Learning and Therapeutic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EDUCATE & ELEVATE LEARNING AND THERAPEUTIC

Practice address

2819 Bobwhite Cir
Wingate, NC 28174-9676

Phone

(704) 465-5820

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaqualyn Robinson

Title

Owner

Phone

(704) 465-5820

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1104336908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 BOBWHITE CIR",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749676",
            "telephone_number": "704-465-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 BOBWHITE CIR",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749676",
            "telephone_number": "704-465-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATE & ELEVATE LEARNING AND THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JAQUALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-465-5820"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Davenport
• Henry Wheeler Davis, PA-S2
• Jessica Davis
• Mylinh Dotruong
• Janine Douglas, PHARMD, BCPS
• Family Medical Center
• Alison Rose Fitzgerald
• Gabby Fleischli
• Ebrie Chandale Franklin
• Colton Freeman

• Multi-Specialty Clinic/Center in Wingate, NC
• Providers in Wingate, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.