Healthcare Provider Details
I. General information
NPI: 1245002963
Provider Name (Legal Business Name): ELEVATION CBT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2023
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 S STEELE ST STE 930
DENVER CO
80209-2814
US
IV. Provider business mailing address
50 S STEELE ST STE 950
DENVER CO
80209-2843
US
V. Phone/Fax
- Phone: 303-304-6690
- Fax: 720-764-0266
- Phone: 303-304-6690
- Fax: 720-370-8601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MELISSA
BONNELL
Title or Position: PSYCHOLOGIST/FOUNDER
Credential: PHD
Phone: 303-304-6690