NPI 1013730134
Elevate Metal Health PLLC
Practice location
- Address
- 3001 Joe Dimaggio Blvd STE 900b, Round Rock, TX 78665-3976
- Phone
- (512) 729-1800
- Mailing address
- 1508 Crockett Gardens Rd, Georgetown, TX 78628-4033
Authorised official
- Name
- Bonny Petty
- Title
- Ownership Member
- Phone
- (512) 585-8468
Registered specialties (2)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Medical Physician Assistant
Registry record
- NPI
- 1013730134
- Entity type
- Organization
- NPI issued
- 6 Nov 2024
- Record last updated
- 29 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.