# ELEVATED LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043703242
- **Authorized official:** SHEILA MARSHALL LMFT, PPS (OWNER/ LMFT)
- **Authorized official phone:** (909) 437-0765

## Contact information

- **Practice address:** 818 N MOUNTAIN AVE STE 219, UPLAND, CA 91786-4165
- **Practice address phone:** (909) 437-0765
- **Practice address fax:** (909) 854-5880
- **Mailing address:** PO BOX 1887, RANCHO CUCAMONGA, CA 91729-1887
- **Mailing address phone:** (909) 437-0765
- **Mailing address fax:** (909) 854-5880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 45458 | CA | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 06/12/2018