Provider Demographics
NPI:1386401404
Name:ELEVATED HORIZONS THERAPEUTICS LLC
Entity type:Organization
Organization Name:ELEVATED HORIZONS THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:FARLER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA
Authorized Official - Phone:513-594-7986
Mailing Address - Street 1:7182 LIBERTY CENTRE DR STE Q-2
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6724
Mailing Address - Country:US
Mailing Address - Phone:513-594-7986
Mailing Address - Fax:
Practice Address - Street 1:7182 LIBERTY CENTRE DR STE Q
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6585
Practice Address - Country:US
Practice Address - Phone:513-594-7986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1326709890Medicaid