| Elevate Psychiatric Services | |
|
17970 Gypsum Canyon Ct Monument CO 80132-7995 | |
| (719) 357-8801 | |
| Not Available |
| Full Name | Elevate Psychiatric Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17970 Gypsum Canyon Ct, Monument, Colorado |
| Authorized Official Name and Position | Brandon Keith Baker (OWNER) |
| Authorized Official Contact | 3038428885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Psychiatric Services 17970 Gypsum Canyon Ct Monument CO 80132-7995 Ph: (719) 357-8801 | Elevate Psychiatric Services 17970 Gypsum Canyon Ct Monument CO 80132-7995 Ph: (719) 357-8801 |
| NPI Number | 1265182869 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265182869 | NPI | - | NPPES |
| DR.0068421 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
| H0093686 | Other | MARYLAND BOARD OF PHYSICIANS | |
| OS15184 | Other | FL | FLORIDA OSTEOPATHIC MEDICAL ASSOCIATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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