MEDICARE: ELEVATE THERAPY AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1215697834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE THERAPY AND WELLNESS

Provider Business Mailing Address
First Line	:	6216 BROOKSIDE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6216 BROOKSIDE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1149
Country	:	US
Telephone Number	:	512-348-7665
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GRACE MACKEY
Credential	:
Telephone Number	:	512-348-7665

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	12/22/2021

Similar Medicare Providers

1225207459 — SUMMIT DME OF SAN ANTONIO
Practice Location Address:

4111 TODD LN , SUITE 100
AUSTIN, TX
78744-1149

Practice Phone: 512-617-6155
Practice Fax:

1992058507 — SARAH BETH ARCEMENT PA-C
Practice Location Address:

1149 RESEARCH BLVD. BLDG. 1 , SUITE 125
AUSTIN, TX
78759

Practice Phone: 512-338-0865
Practice Fax:

1790545580 — KELLY MARIE SIGNER LPC, NCC
Practice Location Address:

6448 E HWY 290 , STE E102
AUSTIN, TX
78723

Practice Phone: 512-956-8868
Practice Fax:

1578022695 — YVONNE OBIANUJU UYANWUNE
Practice Location Address:

4900 MUELLER BLVD
AUSTIN, TX
78723-3051

Practice Phone: 512-324-0000
Practice Fax:

1679374169 — CAMRYN MILLER FISH
Practice Location Address:

4910 MUELLER BLVD STE 200
AUSTIN, TX
78723-3079

Practice Phone: 512-628-1900
Practice Fax:

1932102175 — DR. CATHLEEN M. HAVEMANN M.D.
Practice Location Address:

4900 MUELLER BLVD
AUSTIN, TX
78723-3079

Practice Phone: 512-324-0165
Practice Fax: 512-324-0786

Directions to “ELEVATE THERAPY AND WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.