MEDICARE: ELEVATED MIND THERAPY & HEALING

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568345767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATED MIND THERAPY & HEALING

Provider Business Mailing Address
First Line	:	816 WILLIAM S CANNING BLVD # 1059
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-2394
Country	:	US
Telephone Number	:	978-849-4002
Fax Number	:

Provider Business Practice Location Address
First Line	:	816 WILLIAM S CANNING BLVD # 1059
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-2394
Country	:	US
Telephone Number	:	978-849-4002
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. SEFORA MARIE JEANLOUIS
Credential	:	LMHC
Telephone Number	:	978-849-4002

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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Directions to “ELEVATED MIND THERAPY & HEALING ” Practice Location

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