Provider Demographics
NPI:1891516050
Name:ELEVATION COUNSELING LLC
Entity type:Organization
Organization Name:ELEVATION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-C
Authorized Official - Phone:207-305-5159
Mailing Address - Street 1:1137 US ROUTE 2 W
Mailing Address - Street 2:
Mailing Address - City:DIXFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04224-4812
Mailing Address - Country:US
Mailing Address - Phone:207-305-5159
Mailing Address - Fax:
Practice Address - Street 1:1137 US ROUTE 2 W
Practice Address - Street 2:
Practice Address - City:DIXFIELD
Practice Address - State:ME
Practice Address - Zip Code:04224-4812
Practice Address - Country:US
Practice Address - Phone:207-305-5159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health