ELEVATE COUNSELING CENTER, LLC
NPI 1770169633
Counselor - Mental Health in Santa Clara, CA
Active since March 22, 2021
1588 HOMESTEAD RD MIB 5, SANTA CLARA, CA 95050(408) 288-4767(408) 249-2291 Get Directions Write a Review
About Elevate Counseling Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEVATE COUNSELING CENTER, LLC (NPI 1770169633) is a healthcare organization registered as a mental health in Santa Clara, California and active in the NPI registry since March 2021. The organization lists Deborah Ann Licurse, Owner/ Director, as its authorized official.
NPPES Registry Identity
NPI1770169633
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameELEVATE COUNSELING CENTER, LLC
Location Address1588 HOMESTEAD RD MIB 5Santa Clara, CA 95050-4783
Mailing Address1588 Homestead Rd Mib 5Santa Clara, CA 95050-4783 · (408) 288-4767 · Fax (408) 249-2291
Phone(408) 288-4767
Fax(408) 249-2291
Organization SubpartNo
Authorized OfficialDeborah Ann LicurseOwner/ Director · (408) 288-5767
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1770169633 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1588 HOMESTEAD RD MIB 5, Santa Clara, CA 95050
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770169633, enumerated as an "organization" on March 22, 2021.
The provider is located at 1588 HOMESTEAD RD MIB 5 SANTA CLARA, CA 95050 and the phone number is (408) 288-4767.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
