Elevating Minds LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELEVATING MINDS LLC

Practice address

48 W Tamarisk St Apt 6
Phoenix, AZ 85041-2423

Phone

(702) 490-2786

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Charmaine Wilcox

Title

Owner

Phone

(702) 490-2786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1174196323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W TAMARISK ST APT 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W TAMARISK ST APT 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412423",
            "telephone_number": "702-490-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-490-2786"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.