Provider Demographics
NPI:1649062647
Name:ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:ELEVATE WELLNESS MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDUENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-331-4834
Mailing Address - Street 1:155 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6838
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1339 ROUTE 44
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-7825
Practice Address - Country:US
Practice Address - Phone:845-723-4747
Practice Address - Fax:845-723-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty