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General NPI Number Information
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NPI Number | 1922754589
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Entity Type | Organization
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Legal Business Name | ELEVATE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 1970 LAKE POINTE DR
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City | ORTONVILLE
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State | MI
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Zip | 48462-8860
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Country | US
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Telephone | 810-206-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 TURKEY OAK DR
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City | NAVARRE
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State | FL
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Zip | 32566-7317
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Country | US
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Telephone | 810-210-8857
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | DR. KELSEY J PENIX
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Credential | PH.D., LPC
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Telephone | 810-210-8857
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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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