Healthcare Provider Details

I. General information

NPI: 1932010584
Provider Name (Legal Business Name): ELEVATION BEHAVIORAL HEALTH NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24300 ROWEL CT
TEHACHAPI CA
93561-7003
US

IV. Provider business mailing address

24300 ROWEL CT
TEHACHAPI CA
93561-7003
US

V. Phone/Fax

Practice location:
  • Phone: 661-310-4428
  • Fax:
Mailing address:
  • Phone: 661-310-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GAREN BRANDON MIRZAYAN
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 661-310-4428