Organization
ELEVATED LIFE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAEANN LOWRY (LCPC)
(815) 250-7525
Entity
Organization
Contact information
Practice address
105 E MAIN ST STE 307, MORRIS, IL 60450-2149
(815) 661-6257
Mailing address
401 E JEFFERSON ST, GARDNER, IL 60424-7011
(815) 250-7525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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