Healthcare Provider Details

I. General information

NPI: 1831939156
Provider Name (Legal Business Name): ELEVATED COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17430 AMBAUM BLVD S APT 5
BURIEN WA
98148-2737
US

IV. Provider business mailing address

17430 AMBAUM BLVD S APT 5
BURIEN WA
98148-2737
US

V. Phone/Fax

Practice location:
  • Phone: 206-798-2820
  • Fax:
Mailing address:
  • Phone: 206-798-2820
  • Fax:

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: JENNIFER ELVE
Title or Position: OWNER
Credential: LMHC
Phone: 786-877-2007