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NPI Code Detail

MEDICARE: ELEVATE LIFE COUNSELING LLC

MEDICARE: ELEVATE LIFE COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164386850
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATE LIFE COUNSELING LLC
Provider Business Mailing Address
First Line : 121 MOCKINGBIRD HILL DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-8007
Country : US
Telephone Number : 859-222-6282
Fax Number :
Provider Business Practice Location Address
First Line : 121 MOCKINGBIRD HILL DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-8007
Country : US
Telephone Number : 859-222-6282
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RICHARD L WHEELER
Credential : LPCC
Telephone Number : 859-222-6282
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ELEVATE LIFE COUNSELING LLC ” Practice Location

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