| Elevatemind, Llc | |
|
100 W Eisenhower Dr Ste A Hanover PA 17331-1142 | |
| (717) 632-8400 | |
| (717) 632-9300 |
| Full Name | Elevatemind, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 W Eisenhower Dr Ste A, Hanover, Pennsylvania |
| Authorized Official Name and Position | Jesslyn Koloras (CO-OWNER) |
| Authorized Official Contact | 7176328400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevatemind, Llc 100 W Eisenhower Dr Ste A Hanover PA 17331-1142 Ph: (717) 632-8400 | Elevatemind, Llc 100 W Eisenhower Dr Ste A Hanover PA 17331-1142 Ph: (717) 632-8400 |
| NPI Number | 1821845389 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/18/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 7113467309 |
|---|---|
| Medicare Enrollment ID | O20240914000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821845389 | NPI | - | NPPES |
| Provider Name | Jesslyn M Koloras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518163872 PECOS PAC ID: 6507092269 Enrollment ID: I20131202001476 |
| Provider Name | Sara Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346772126 PECOS PAC ID: 3072040179 Enrollment ID: I20250102000017 |
| Provider Name | Paul Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942766787 PECOS PAC ID: 4486183233 Enrollment ID: I20250124000075 |
| Provider Name | Luana Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073914073 PECOS PAC ID: 8022558212 Enrollment ID: I20250128002237 |
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