MEDICARE: ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC

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	:	1649062647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	155 STRATFORD DR
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1339 ROUTE 44
Second Line	:
City	:	PLEASANT VALLEY
State	:	NY
Zip	:	12569-7825
Country	:	US
Telephone Number	:	845-723-4747
Fax Number	:	845-723-4800

Authorized Official
Title or Position	:	OWNER
Name	:	ANDUENA KURTOVIC
Credential	:	LMHC
Telephone Number	:	917-331-4834

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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