Organization
ELEVATED THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY FARMER (OWNER)
(512) 284-1058
Entity
Organization
Contact information
Practice address
4169 WESTPORT RD STE 120, LOUISVILLE, KY 40207-2747
(502) 333-9466
(502) 754-4413
Mailing address
7004 DRURY DR, LOUISVILLE, KY 40229-2899
(512) 284-1058
(502) 754-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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