Organization
ELEVATE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN K ELLIS LCSW (CLINICAL SOCIAL WORKER)
(307) 320-3082
Entity
Organization
Contact information
Practice address
116 5TH ST STE 8, RAWLINS, WY 82301-5632
(307) 320-3082
Mailing address
PO BOX 1589, RAWLINS, WY 82301-1589
(307) 320-3082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-1028
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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