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General NPI Number Information
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NPI Number | 1013718832
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Entity Type | Organization
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Legal Business Name | ELEVATE INTEGRATED HEALTH LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 5850 HANSEL AVE
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City | ORLANDO
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State | FL
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Zip | 32809-4218
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Country | US
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Telephone | 407-751-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 BELLADONNA PL # 1018
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City | SAINT CLOUD
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State | FL
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Zip | 34771-5813
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Country | US
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Telephone | 407-751-0025
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. NUELA UMEH
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Credential | PMHNP-BC
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Telephone | 407-715-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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