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General NPI Number Information
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NPI Number | 1114894243
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Entity Type | Organization
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Legal Business Name | ELEVATE PSYCHIATRY AND COUNSELING
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 6212 CANYON CREST LOOP
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-7410
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Country | US
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Telephone | 720-901-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 N LOGAN ST STE 660
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City | DENVER
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State | CO
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Zip | 80203-1994
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Country | US
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Telephone | 720-901-5822
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Fax | 720-547-6816
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MISS DEZERAE PAIGE ELSEN
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Credential | PMHNP-BC
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Telephone | 720-901-5822
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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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