Healthcare Provider Details

I. General information

NPI: 1114841046
Provider Name (Legal Business Name): ELEVATION HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E MONUMENT ST
COLORADO SPRINGS CO
80903-1004
US

IV. Provider business mailing address

2803 TIMBERCHASE TRL
HIGHLANDS RANCH CO
80126-5559
US

V. Phone/Fax

Practice location:
  • Phone: 650-200-8987
  • Fax:
Mailing address:
  • Phone: 650-200-8987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAWNA ROSE DENTON-GILDEA
Title or Position: OWNER
Credential: DENTON-GILDEA
Phone: 650-220-8987