| Elevated Life Therapy, Pllc | |
|
105 E Main St Ste 307 Morris IL 60450-2149 | |
| (815) 661-6257 | |
| Not Available |
| Full Name | Elevated Life Therapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 E Main St Ste 307, Morris, Illinois |
| Authorized Official Name and Position | Raeann Lowry (LCPC) |
| Authorized Official Contact | 8152507525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Life Therapy, Pllc 401 E Jefferson St Gardner IL 60424-7011 Ph: (815) 250-7525 | Elevated Life Therapy, Pllc 105 E Main St Ste 307 Morris IL 60450-2149 Ph: (815) 661-6257 |
| NPI Number | 1770217614 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770217614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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