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General NPI Number Information
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NPI Number | 1073482071
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Entity Type | Organization
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Legal Business Name | ELEVATE MENTAL WELLNESS, LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1401 N ELIZABETH ST STE B
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City | PUEBLO
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State | CO
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Zip | 81003-2159
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Country | US
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Telephone | 303-600-8563
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Fax | 877-807-7273
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Provider Business Mailing Address
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Address Line | 450 W JEFFERSON AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-3536
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Country | US
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Telephone | 970-786-0074
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Fax | 877-807-7273
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Authorized Official
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Title or Position | COO
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Name | DR. PATRICIA MARIA CUPIT
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Credential | DBA
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Telephone | 970-786-0074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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