# ELEVATED THERAPY SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508678582
- **Authorized official:** JENELLE PETERSON LPCC (OWNER, PRACTIONER)
- **Authorized official phone:** (952) 522-3132

## Contact information

- **Practice address:** 18315 CASCADE DR STE 170, EDEN PRAIRIE, MN 55347-1184
- **Practice address phone:** (952) 522-3132
- **Practice address fax:** (952) 333-7156
- **Mailing address:** 18315 CASCADE DR STE 170, EDEN PRAIRIE, MN 55347-1184
- **Mailing address phone:** (952) 522-3132
- **Mailing address fax:** (952) 333-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/24/2025