# ELEVATED THERAPEUTIC SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1922756758
- **Authorized official:** TIFFANY FARMER (OWNER)
- **Authorized official phone:** (512) 284-1058

## Contact information

- **Practice address:** 4169 WESTPORT RD STE 120, LOUISVILLE, KY 40207-2747
- **Practice address phone:** (502) 333-9466
- **Practice address fax:** (502) 754-4413
- **Mailing address:** 7004 DRURY DR, LOUISVILLE, KY 40229-2899
- **Mailing address phone:** (512) 284-1058
- **Mailing address fax:** (502) 754-4413

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2022
- **Last updated:** 03/10/2022