| Elevated Psychotherapy | |
|
3567 Windsor Rd Deforest WI 53532-2725 | |
| (608) 571-3589 | |
| Not Available |
| Full Name | Elevated Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3567 Windsor Rd, Deforest, Wisconsin |
| Authorized Official Name and Position | Emily Priestaf (OWNER) |
| Authorized Official Contact | 6085713589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Psychotherapy 3567 Windsor Rd Deforest WI 53532-2725 Ph: (608) 571-3589 | Elevated Psychotherapy 3567 Windsor Rd Deforest WI 53532-2725 Ph: (608) 571-3589 |
| NPI Number | 1255136354 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255136354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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