| Elevated And Empowered Mental Health, Marriage And Family Therapy, Pro | |
|
1206 W Avenue J Ste 200b Lancaster CA 93534-2955 | |
| (661) 235-5101 | |
| Not Available |
| Full Name | Elevated And Empowered Mental Health, Marriage And Family Therapy, Pro |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1206 W Avenue J Ste 200b, Lancaster, California |
| Authorized Official Name and Position | Shaylale Taylor (CEO) |
| Authorized Official Contact | 6612355101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated And Empowered Mental Health, Marriage And Family Therapy, Pro 440 N Barranca Ave Ste 4551 Covina CA 91723-1722 Ph: (661) 235-5101 | Elevated And Empowered Mental Health, Marriage And Family Therapy, Pro 1206 W Avenue J Ste 200b Lancaster CA 93534-2955 Ph: (661) 235-5101 |
| NPI Number | 1396586756 |
|---|---|
| Provider Enumeration Date | 06/01/2024 |
| Last Update Date | 06/01/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396586756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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