| Elevate Counseling Center | |
|
1588 Homestead Rd Ste A M/b 5 Santa Clara CA 95050-4783 | |
| (408) 288-4767 | |
| Not Available |
| Full Name | Elevate Counseling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1588 Homestead Rd Ste A, Santa Clara, California |
| Authorized Official Name and Position | Deborah Licurse (OWNER) |
| Authorized Official Contact | 4082284767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Counseling Center 1588 Homestead Rd Ste A M/b 5 Santa Clara CA 95050-4783 Ph: (408) 774-1009 | Elevate Counseling Center 1588 Homestead Rd Ste A M/b 5 Santa Clara CA 95050-4783 Ph: (408) 288-4767 |
| NPI Number | 1508457177 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508457177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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