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General NPI Number Information
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NPI Number | 1932042017
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Entity Type | Organization
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Legal Business Name | ELEVATE COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 258 MAIN ST
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City | BOURNE
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State | MA
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Zip | 02532-3222
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Country | US
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Telephone | 508-692-0530
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Fax | 866-773-4171
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Provider Business Mailing Address
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Address Line | 258 MAIN ST
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City | BOURNE
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State | MA
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Zip | 02532-3222
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Country | US
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Telephone | 508-692-0530
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Fax | 866-773-4171
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Authorized Official
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Title or Position | CEO
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Name | LEIGH-ANN LARSON
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Credential | LMHC
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Telephone | 508-692-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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