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NPI Code Detail

MEDICARE: ELEVATE MENTAL WELLNESS, LLC

MEDICARE: ELEVATE MENTAL WELLNESS, LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1407731243
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATE MENTAL WELLNESS, LLC
Provider Business Mailing Address
First Line : 450 W JEFFERSON AVE
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80110-3536
Country : US
Telephone Number : 970-817-1742
Fax Number :
Provider Business Practice Location Address
First Line : 1923 W COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3838
Country : US
Telephone Number : 970-817-1742
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : PATRICIA CUPIT
Credential :
Telephone Number : 970-817-1742
Provider Enumeration Date : 08/11/2025
Last Update Date : 11/21/2025

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Directions to “ELEVATE MENTAL WELLNESS, LLC ” Practice Location

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