Organization
ELEVATION WELLNESS CENTER LLC
Active
Organization
ELEVATION WELLNESS CENTER LLC
Active
Other names
Elevation Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PETERSON (CEO)
(307) 840-3594
Entity
Organization
Contact information
Practice address
902 N 8TH ST W, RIVERTON, WY 82501-2332
(307) 840-3594
Mailing address
PO BOX 868, RIVERTON, WY 82501-0116
(307) 840-3594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/08/2024
Last updated
02/03/2025
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