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General NPI Number Information
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NPI Number | 1013784040
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY ELEVATED PLLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1607 BRIMBLE DR
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City | ERIE
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State | CO
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Zip | 80516-7260
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Country | US
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Telephone | 678-634-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 ARAPAHOE RD STE 132705
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City | LAFAYETTE
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State | CO
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Zip | 80026-8018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY O'KEEFE
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Credential | PMHNP-BC
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Telephone | 720-597-8944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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