Elevated Psychotherapy | |
3567 Windsor Rd Deforest WI 53532-2725 | |
(608) 571-3589 | |
Not Available |
Full Name | Elevated Psychotherapy |
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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 |
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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 |
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Provider Enumeration Date | 02/13/2025 |
Last Update Date | 02/13/2025 |
Certification Date | 02/13/2025 |
Identifier | Type | State | Issuer |
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1255136354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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