Organization
ELEVATED THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY BISHOP LMSW (OWNER)
(517) 648-7217
Entity
Organization
Contact information
Practice address
332 W GOWER RD, UNION CITY, MI 49094-9439
(517) 648-7217
Mailing address
332 W GOWER RD, UNION CITY, MI 49094-9439
(517) 648-7217
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/11/2023
Last updated
04/10/2024
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