| Elevated Therapeutic Solutions, Llc | |
|
4169 Westport Rd Ste 120 Louisville KY 40207-2747 | |
| (502) 333-9466 | |
| (502) 754-4413 |
| Full Name | Elevated Therapeutic Solutions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4169 Westport Rd Ste 120, Louisville, Kentucky |
| Authorized Official Name and Position | Tiffany Farmer (OWNER) |
| Authorized Official Contact | 5122841058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Therapeutic Solutions, Llc 7004 Drury Dr Louisville KY 40229-2899 Ph: (512) 284-1058 | Elevated Therapeutic Solutions, Llc 4169 Westport Rd Ste 120 Louisville KY 40207-2747 Ph: (502) 333-9466 |
| NPI Number | 1922756758 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922756758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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