Healthcare Provider Details

I. General information

NPI: 1184542029
Provider Name (Legal Business Name): ELEVATE INTEGRATIVE WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 9TH AVE NE STE 300
SEATTLE WA
98105-4762
US

IV. Provider business mailing address

522 W RIVERSIDE AVE
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 786-660-0055
  • Fax:
Mailing address:
  • Phone: 786-660-0055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARIA VICTORIA TELLEZ ALVAREZ
Title or Position: OWNER
Credential: MBA, PMHNP-BC
Phone: 786-660-0055