Provider Demographics
NPI:1447725015
Name:ELEVATE COUNSELING SOLUTIONS, LLC
Entity type:Organization
Organization Name:ELEVATE COUNSELING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSTAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-234-8569
Mailing Address - Street 1:722 HIGH DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-3079
Mailing Address - Country:US
Mailing Address - Phone:229-630-5056
Mailing Address - Fax:
Practice Address - Street 1:722 HIGH DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-3079
Practice Address - Country:US
Practice Address - Phone:229-234-8569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty