ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC
NPI 1679308787
Clinic/Center - Adult Mental Health in Matteson, IL

Active since September 06, 2024
4801 SOUTHWICK DR STE 600, MATTESON, IL 60443(708) 300-8864 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Elevation Individual And Family Therapy Pllc, a provider established in Matteson, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1679308787 assigned on September 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tionna Harris Msw, Lcsw (Ceo)

NPI
1679308787 Verify this NPI
Provider Name
ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC
Entity Type
Organization
Location Address
4801 SOUTHWICK DR STE 600 MATTESON, IL 60443
Location Phone
(708) 300-8864
Mailing Address
4801 SOUTHWICK DR STE 600 MATTESON, IL 60443
Mailing Phone
(708) 300-8864
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2024
Last Update Date
09-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIONNA HARRIS MSW, LCSW

Authorized Official Title
CEO
Authorized Official Phone
(708) 300-8864

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
4801 SOUTHWICK DR STE 600
MATTESON, IL 60443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679308787, enumerated as an "organization" on September 06, 2024.

The provider is located at 4801 SOUTHWICK DR STE 600 MATTESON, IL 60443 and the phone number is (708) 300-8864.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.