Healthcare Provider Details

I. General information

NPI: 1023933819
Provider Name (Legal Business Name): ELEVATE COUNSELING AND WELLNESS SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CHESTNUT ST STE 838
ABILENE TX
79602-1448
US

IV. Provider business mailing address

500 CHESTNUT ST STE 838
ABILENE TX
79602-1448
US

V. Phone/Fax

Practice location:
  • Phone: 325-242-9332
  • Fax: 325-480-2224
Mailing address:
  • Phone: 325-242-9332
  • Fax: 325-480-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE NICKERSON
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 325-242-9332