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NPI Code Detail

MEDICARE: ELEVATION BEHAVIORAL THERAPY

MEDICARE: ELEVATION BEHAVIORAL THERAPY
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
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11225431612OTHERCHRISTINA CASCI, LCSW, LAC

General Provider Information

NPI Number : 1740870682
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATION BEHAVIORAL THERAPY
Provider Business Mailing Address
First Line : 1312 17TH ST # 1020
Second Line :
City : DENVER
State : CO
Zip : 80202-1508
Country : US
Telephone Number : 720-515-8380
Fax Number :
Provider Business Practice Location Address
First Line : 1312 17TH ST # 1020
Second Line :
City : DENVER
State : CO
Zip : 80202-1508
Country : US
Telephone Number : 720-515-8380
Fax Number :
Authorized Official
Title or Position : OWNER/ LICENSED PSYCHOTHERAPIST
Name : CHRISTINA CASCI
Credential : LCSW, LAC
Telephone Number : 720-515-8380
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/25/2021

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Directions to “ELEVATION BEHAVIORAL THERAPY ” Practice Location

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