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General NPI Number Information
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NPI Number | 1518558550
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Entity Type | Organization
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Legal Business Name | ELEVATED MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 179 WATSON ST
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City | STEELTON
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State | PA
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Zip | 17113-2146
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Country | US
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Telephone | 717-516-0921
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Fax | 717-516-6186
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Provider Business Mailing Address
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Address Line | 2324 THORNTON RD
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City | HARRISBURG
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State | PA
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Zip | 17109-1820
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Country | US
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Telephone | 717-810-8351
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Fax | 717-516-6186
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST / OWNER
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Name | NAKEESHA M KENNEY-FUTRELL
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Credential | LCSW, MSW
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Telephone | 717-810-8351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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