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Contact Information

ELEVATE ARIZONA
3208 N LADERA CIR
MESA, AZ85207-0810
 Phone: 480-428-8022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ELEVATE ARIZONA

NPI # 1144625765
LBN Legal business name ELEVATE ARIZONA
Authorized official WALTER SIMMONS - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2014
Last updated 10/24/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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