Organization
LIFE ELEVATED THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA ELLIS LCSW-BACS (OWNER/PROVIDER)
(318) 348-6493
Entity
Organization
Contact information
Practice address
1500 N 19TH ST, MONROE, LA 71201-4942
(318) 303-6618
Mailing address
1500 N 19TH ST, MONROE, LA 71201-4942
(318) 303-6618
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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