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Active NPI 1861997207 Organization (Entity Type 2)

Elevate Peer Support, Llc.

Clinic/Center - Mental Health (Including Community Mental Health Center) • Tempe, AZ

About Elevate Peer Support, Llc. NPI 1861997207 Summary

Elevate Peer Support, Llc. is a verified healthcare organization specializing in Clinic/Center - Mental Health (Including Community Mental Health Center) operating in Tempe, AZ. Located at 2600 E SOUTHERN AVE STE D1, this facility provides patient care and medical services under National Provider Identifier (NPI) 1861997207.

Administrative operations and authorized compliance are overseen by Alexis Benson (Cfo).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2600 E Southern Ave Ste D1

Tempe, AZ 852827747

Telephone 4805501201

Authorized Official Information

Authorized Contact Name

Alexis Benson

Title / Role

Cfo

Official Telephone

4805501201

Facility Classifications & Specialties

Clinic/Center - Mental Health (Including Community Mental Health Center) Primary Taxonomy

NUCC Taxonomy Code: 261QM0801X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Practice Location May 18, 2020

Registered at 2600 E SOUTHERN AVE STE D1, TEMPE, AZ 852827747 (Tel: 7607028459)

📍
Updated Business Mailing Address May 18, 2020

Registered at 2600 E SOUTHERN AVE STE D1, TEMPE, AZ 852827747

NPI Profile Active March 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2018

Registered at 3200 N DOBSON RD STE D-1, CHANDLER, AZ 852249610 (Tel: 6026165622)

📍
Updated Business Mailing Address March 28, 2018

Registered at 3200 N DOBSON RD STE D-1, CHANDLER, AZ 852249610

🏛️
Organization / Clinic Name Updated March 28, 2018

Operating as ELEVATE PEER SUPPORT, LLC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2018

Clinic/Center

🟢
Initial NPI Registration & Enumeration March 28, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1861997207
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 28, 2018
Last Update: December 29, 2021

Mailing Address

2600 E Southern Ave Ste D1

Tempe, AZ 852827747

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.