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General NPI Number Information
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NPI Number | 1871476176
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Entity Type | Organization
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Legal Business Name | ELEVATE LIFE COUNSELING PLLC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 2276 BUFFALO SHOALS RD
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City | STATESVILLE
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State | NC
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Zip | 28677-2447
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Country | US
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Telephone | 704-275-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 2276 BUFFALO SHOALS RD
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City | STATESVILLE
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State | NC
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Zip | 28677-2447
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Country | US
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Telephone | 210-607-0631
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN CAUSBY
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Credential | LCMHC, LCAS
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Telephone | 210-607-0631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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