Elevate Youth Recovery, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ELEVATE YOUTH RECOVERY, LLC

Practice address

6530 Griffin Rd
Davie, FL 33314-4301

Phone

(954) 857-4976

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Emily Funkhouser

Title

Director

Phone

(954) 857-4976

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashanti Shakespeare, LCSW

  • Clinical Social Worker
  • Davie, FL
  • NPI 1578284261
  NPD
• Rebecca Jyll Siwanowicz, LCSW

  • Clinical Social Worker
  • Concord, NC
  • NPI 1780268672
  NPD (past)

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1861380974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W YAMATO RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144301",
            "telephone_number": "954-857-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE YOUTH RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "FUNKHOUSER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-857-4976"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reem Ekhraiwesh
• Ime Marcella Ekong, PSYD
• Mohamad Muhieddine Lee El Dannaoui
• Nour El-Dannaoui
• Elaine Karbonik PSYD PA
• Faisal Elhussein, DMD
• Eli Albert Counseling Services, LLC
• Mauro Elias Mesko, DDS
• Elicia K Lowitz, PA
• Elite Care at Home of Broward, Inc.

• Adolescent and Children Mental Health Clinic/Center in Davie, FL
• Providers in Davie, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.