Organization
ELEVATED PERSPECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WADE LCSW (CEO)
(435) 757-3826
Entity
Organization
Contact information
Practice address
75 W 100 S STE 200, LOGAN, UT 84321-5842
(435) 915-6826
Mailing address
1650 E 1400 N, LOGAN, UT 84341-2924
(435) 757-3826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/09/2021
Last updated
03/27/2024
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