| Elevated Mindset Therapy, Llc | |
|
501 Church St Ne Ste 212 Vienna VA 22180-4734 | |
| (571) 230-4205 | |
| Not Available |
| Full Name | Elevated Mindset Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 501 Church St Ne Ste 212, Vienna, Virginia |
| Authorized Official Name and Position | Daniel Lavelle (OWNER) |
| Authorized Official Contact | 5712304205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Mindset Therapy, Llc 11730 Indian Ridge Rd Reston VA 20191-3522 Ph: (571) 230-4205 | Elevated Mindset Therapy, Llc 501 Church St Ne Ste 212 Vienna VA 22180-4734 Ph: (571) 230-4205 |
| NPI Number | 1558296335 |
|---|---|
| Provider Enumeration Date | 06/15/2026 |
| Last Update Date | 06/15/2026 |
| Certification Date | 06/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558296335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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