OrganizationActive
Elevating Minds LLC
NPI 1174196323 · Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1174196323
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charmaine Wilcox, Owner(702) 490-2786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
48 W Tamarisk St Apt 6
Phoenix, AZ 85041-2423
Phone: (702) 490-2786
Street-level locationGet directions
Mailing address
48 W Tamarisk St Apt 6
Phoenix, AZ 85041-2423
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2021-07-23
- Certified
- 2021-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.