Healthcare Provider Details

I. General information

NPI: 1932042017
Provider Name (Legal Business Name): ELEVATE COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 MAIN ST
BOURNE MA
02532-3222
US

IV. Provider business mailing address

258 MAIN ST
BOURNE MA
02532-3222
US

V. Phone/Fax

Practice location:
  • Phone: 508-692-0530
  • Fax: 866-773-4171
Mailing address:
  • Phone: 508-692-0530
  • Fax: 866-773-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEIGH-ANN LARSON
Title or Position: CEO
Credential: LMHC
Phone: 508-692-0530