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NPI 1649062647

NPI 1649062647 : ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC : PLEASANT VALLEY, NY

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General NPI Number Information
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    NPI Number           |    1649062647
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC 
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Dates
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    Enumeration Date     |    05/19/2025
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    1339 ROUTE 44 
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    City                 |    PLEASANT VALLEY
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    State                |    NY
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    Zip                  |    12569-7825
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    Country              |    US
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    Telephone            |    845-723-4747
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    Fax                  |    845-723-4800
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Provider Business Mailing Address
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    Address Line         |    155 STRATFORD DR 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12603-6838
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANDUENA  KURTOVIC 
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    Credential           |    LMHC
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    Telephone            |    917-331-4834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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