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Organization
ELEVATED AND EMPOWERED MENTAL HEALTH, MARRIAGE AND FAMILY THERAPY, PRO
Active
Organization
ELEVATED AND EMPOWERED MENTAL HEALTH, MARRIAGE AND FAMILY THERAPY, PRO
Active
Other names
ELEVATED AND EMPOWERED MENTAL HEALTH AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLALE TAYLOR LMFT (CEO)
(661) 235-5101
Entity
Organization
Contact information
Practice address
1206 W AVENUE J STE 200B, LANCASTER, CA 93534-2955
(661) 235-5101
Mailing address
440 N BARRANCA AVE STE 4551, COVINA, CA 91723-1722
(661) 235-5101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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