Organization
ELEVATED HEIGHTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY J EVANS (CLINICAL DIRECTOR)
(618) 235-3857
Entity
Organization
Contact information
Practice address
28 BRONZE POINTE N STE B, SWANSEA, IL 62226-1191
(618) 235-3857
Mailing address
301 AMERICANA CIR, FAIRVIEW HEIGHTS, IL 62208-3687
(618) 530-4558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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