Organization
ELEVATED SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE SELL LPC (OWNER)
(814) 810-3902
Entity
Organization
Contact information
Practice address
313 4TH ST STE 3, HUNTINGDON, PA 16652-1421
(814) 810-3902
Mailing address
PO BOX 38, HOLLIDAYSBURG, PA 16648-0038
(814) 810-3902
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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