Provider Demographics
NPI:1568345767
Name:ELEVATED MIND THERAPY & HEALING
Entity type:Organization
Organization Name:ELEVATED MIND THERAPY & HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEFORA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JEANLOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-849-4002
Mailing Address - Street 1:816 WILLIAM S CANNING BLVD # 1059
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-2394
Mailing Address - Country:US
Mailing Address - Phone:978-849-4002
Mailing Address - Fax:
Practice Address - Street 1:816 WILLIAM S CANNING BLVD # 1059
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2394
Practice Address - Country:US
Practice Address - Phone:978-849-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health