Provider Demographics
NPI:1073069118
Name:ELEVATED INSIGHTS ASSESSMENT
Entity Type:Organization
Organization Name:ELEVATED INSIGHTS ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-756-1197
Mailing Address - Street 1:899 N LOGAN ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:899 N LOGAN ST
Practice Address - Street 2:SUITE 307
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3130
Practice Address - Country:US
Practice Address - Phone:303-756-1197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4327103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty