Educate & Elevate Learning and Therapeutic

Organization Active NPI Multi-Specialty Clinic/Center · Wingate, NC

NPI 1104336908 · NPPES record last updated Oct 5, 2017

Key facts

NPI
1104336908
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 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
Organization subpart
No

Authorized official

Name
Jaqualyn Robinson
Title
Owner
Phone
(704) 465-5820

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

2819 Bobwhite Cir
Wingate, NC 28174-9676

Mailing address

2819 Bobwhite Cir
Wingate, NC 28174-9676
Phone (704) 465-5820

Other providers in Wingate, NC

All providers in Wingate, NC · Multi-Specialty Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.