Provider Demographics
NPI:1679384622
Name:ELEVATE PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:ELEVATE PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:207-631-3088
Mailing Address - Street 1:1301 CARMEL RD N
Mailing Address - Street 2:
Mailing Address - City:HAMPDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04444-3238
Mailing Address - Country:US
Mailing Address - Phone:207-631-3088
Mailing Address - Fax:
Practice Address - Street 1:1301 CARMEL RD N
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444-3238
Practice Address - Country:US
Practice Address - Phone:207-631-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health