Elevated Psychotherapy

Organization Active NPI Professional Counselor · Deforest, WI

NPI 1255136354 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1255136354
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
ELEVATED PSYCHOTHERAPY
Practice address
3567 Windsor Rd
Deforest, WI 53532-2725
Phone
(608) 571-3589
NPI assigned
Feb 13, 2025
Organization subpart
No

Authorized official

Name
Emily Priestaf, LPC
Title
Owner
Phone
(608) 571-3589

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

3567 Windsor Rd
Deforest, WI 53532-2725

Mailing address

3567 Windsor Rd
Deforest, WI 53532-2725
Phone (608) 571-3589

Other providers in Deforest, WI

All providers in Deforest, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.