Healthcare Provider Details

I. General information

NPI: 1447031877
Provider Name (Legal Business Name): ELEVATED THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 S HILLS DR.
BATTLE CREEK MI
49015-3954
US

IV. Provider business mailing address

396 S HILLS DR.
BATTLE CREEK MI
49015-3954
US

V. Phone/Fax

Practice location:
  • Phone: 517-343-6090
  • Fax: 517-343-6094
Mailing address:
  • Phone: 517-343-6090
  • Fax: 517-343-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNY BISHOP
Title or Position: CO-OWNER
Credential: LMSW
Phone: 517-343-6090