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General NPI Number Information
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NPI Number | 1093677494
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Entity Type | Organization
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Legal Business Name | ELEVATE COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 37721 HIXFORD PL
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City | WESTLAND
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State | MI
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Zip | 48185-3364
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Country | US
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Telephone | 248-510-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 4444 2ND AVE STE 36042
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City | DETROIT
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State | MI
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Zip | 48201-1216
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Country | US
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Telephone | 248-518-8990
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDI MCKENZIE
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Credential | LMSW
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Telephone | 248-510-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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