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General NPI Number Information
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NPI Number | 1043132194
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Entity Type | Organization
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Legal Business Name | ELEVATE AND RENEW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 700 TECH CENTER PKWY STE 200-142
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 804-300-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 700 TECH CENTER PKWY STE 200-142
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 804-300-6500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA TYLER
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Credential |
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Telephone | 804-300-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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