Provider Demographics
NPI:1871163824
Name:ELEVATION SPEECH-LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:ELEVATION SPEECH-LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:O'MARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-530-5355
Mailing Address - Street 1:6155 ESTES ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-5445
Mailing Address - Country:US
Mailing Address - Phone:913-530-5355
Mailing Address - Fax:
Practice Address - Street 1:6155 ESTES ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-5445
Practice Address - Country:US
Practice Address - Phone:913-530-5355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech