# ELEVATED HEALING SERVICES LLC

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

## Provider details

- **NPI number:** 1184505042
- **Authorized official:** STEPHEN BIRD (MANAGER)
- **Authorized official phone:** (630) 364-8144

## Contact information

- **Practice address:** 1600 JOHN ADAMS PKWY STE 101, IDAHO FALLS, ID 83401-4300
- **Practice address phone:** (208) 716-5063
- **Practice address fax:** (866) 661-4322
- **Mailing address:** 427 SUNTERRA DR, IDAHO FALLS, ID 83404-5090
- **Mailing address phone:** (630) 364-8144
- **Mailing address fax:** (866) 661-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2025
- **Last updated:** 10/07/2025