Elevate Therapy & Assessment, Pllc | |
910 10th St Milford IA 51351-1530 | |
(712) 338-6200 | |
(712) 338-6205 |
Full Name | Elevate Therapy & Assessment, Pllc |
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Speciality | Psychologist |
Location | 910 10th St, Milford, Iowa |
Authorized Official Name and Position | Natalie Jo Sandbulte (CO-OWNER) |
Authorized Official Contact | 7122402785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elevate Therapy & Assessment, Pllc Po Box 132 Milford IA 51351-0132 Ph: () - | Elevate Therapy & Assessment, Pllc 910 10th St Milford IA 51351-1530 Ph: (712) 338-6200 |
NPI Number | 1568092195 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 01/23/2020 |
Certification Date | 01/23/2020 |
Medicare PECOS PAC ID | 6709213507 |
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Medicare Enrollment ID | O20200217000529 |
Identifier | Type | State | Issuer |
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1568092195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Natalie J Sandbulte |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730426768 PECOS PAC ID: 0042455925 Enrollment ID: I20130325000391 |
Provider Name | Annie M Downing |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285072744 PECOS PAC ID: 8325324338 Enrollment ID: I20170405001880 |
Provider Name | Jacqueline Detrick |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851906184 PECOS PAC ID: 8820445380 Enrollment ID: I20231106002872 |
Provider Name | Vanessa Jorgensen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295302248 PECOS PAC ID: 0446607832 Enrollment ID: I20231107000551 |
Provider Name | Kelly Sinnema |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811424096 PECOS PAC ID: 4385094234 Enrollment ID: I20231219001876 |
Provider Name | Dawn Marie Clements |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376159665 PECOS PAC ID: 4688024557 Enrollment ID: I20231219002678 |
Provider Name | Jennifer Den Boer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346732385 PECOS PAC ID: 1254781339 Enrollment ID: I20240102002985 |
Provider Name | Catherine L Fields-nelson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295230902 PECOS PAC ID: 6709236797 Enrollment ID: I20240103002958 |
Cherish Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 22nd St, Milford, IA 51351 Phone: 712-338-3333 Fax: 866-717-5721 |