Provider Demographics
NPI:1356952766
Name:NVELUP TELEHEALTH PLLC
Entity type:Organization
Organization Name:NVELUP TELEHEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:CECCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-242-9202
Mailing Address - Street 1:1455 NORTHWEST LEARY WAY
Mailing Address - Street 2:WEST WOODLAND, SUITE 400-#101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2110
Mailing Address - Country:US
Mailing Address - Phone:509-242-9202
Mailing Address - Fax:509-769-5040
Practice Address - Street 1:1455 NORTHWEST LEARY WAY
Practice Address - Street 2:WEST WOODLAND, SUITE 400-#101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-9810
Practice Address - Country:US
Practice Address - Phone:509-242-9202
Practice Address - Fax:509-769-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty