| Elevated Life | |
|
818 N Mountain Ave Ste 219 Upland CA 91786-4165 | |
| (909) 437-0765 | |
| (909) 854-5880 |
| Full Name | Elevated Life |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 818 N Mountain Ave Ste 219, Upland, California |
| Authorized Official Name and Position | Sheila Marshall (OWNER/ LMFT) |
| Authorized Official Contact | 9094370765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Life Po Box 1887 Rancho Cucamonga CA 91729-1887 Ph: (909) 437-0765 | Elevated Life 818 N Mountain Ave Ste 219 Upland CA 91786-4165 Ph: (909) 437-0765 |
| NPI Number | 1043703242 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043703242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 45458 (California) | Primary |
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