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General NPI Number Information
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NPI Number | 1477471811
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Entity Type | Organization
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Legal Business Name | ELEVATE: MENTAL HEALTH AND PERFORMANCE COUNSELING
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 5260 N TOLER DR
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City | BEL AIRE
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State | KS
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Zip | 67226-6632
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Country | US
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Telephone | 618-946-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W DOUGLAS AVE STE 625
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City | WICHITA
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State | KS
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Zip | 67202-2917
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Country | US
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Telephone | 618-946-6563
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | BENJAMIN R FLOWERS
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Credential | M.ED., LPC
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Telephone | 618-946-6563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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