Provider Demographics
NPI:1205305497
Name:ELEVATE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:ELEVATE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADDICTION SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CANNING
Authorized Official - Last Name:HOWROYD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:860-878-5663
Mailing Address - Street 1:341 BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6470
Mailing Address - Country:US
Mailing Address - Phone:860-570-2140
Mailing Address - Fax:
Practice Address - Street 1:341 BIDWELL ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6470
Practice Address - Country:US
Practice Address - Phone:860-570-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health