# ELEVATED AND EMPOWERED MENTAL HEALTH, MARRIAGE AND FAMILY THERAPY, PRO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELEVATED AND EMPOWERED MENTAL HEALTH AND WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396586756
- **Authorized official:** SHAYLALE TAYLOR LMFT (CEO)
- **Authorized official phone:** (661) 235-5101

## Contact information

- **Practice address:** 1206 W AVENUE J STE 200B, LANCASTER, CA 93534-2955
- **Practice address phone:** (661) 235-5101
- **Mailing address:** 440 N BARRANCA AVE STE 4551, COVINA, CA 91723-1722
- **Mailing address phone:** (661) 235-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2024
- **Last updated:** 06/01/2024