Provider Demographics
NPI:1932089273
Name:ELEVATE MENTAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:ELEVATE MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:PARFAIT
Authorized Official - Middle Name:DIABATE
Authorized Official - Last Name:ABAYISENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-605-9860
Mailing Address - Street 1:3702 S MURLO AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-4873
Mailing Address - Country:US
Mailing Address - Phone:208-605-9860
Mailing Address - Fax:
Practice Address - Street 1:3702 S MURLO AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-4873
Practice Address - Country:US
Practice Address - Phone:208-605-9860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health