| Elevate Counseling Llc | |
|
332a Jungermann Rd Saint Peters MO 63376-5303 | |
| (314) 297-0715 | |
| (636) 244-0722 |
| Full Name | Elevate Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 332a Jungermann Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | Dana E Laird (OWNER) |
| Authorized Official Contact | 3142970715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Counseling Llc 332a Jungermann Rd Saint Peters MO 63376-5303 Ph: (314) 297-0715 | Elevate Counseling Llc 332a Jungermann Rd Saint Peters MO 63376-5303 Ph: (314) 297-0715 |
| NPI Number | 1568245579 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2062861305 |
|---|---|
| Medicare Enrollment ID | O20231212000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568245579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dana Elizabeth Laird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578187605 PECOS PAC ID: 8224487566 Enrollment ID: I20231212000659 |
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