| Life Elevated Therapy & Coaching, Pllc | |
|
1057 Oberland Dr Midway UT 84049-6112 | |
| (801) 842-1492 | |
| Not Available |
| Full Name | Life Elevated Therapy & Coaching, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1057 Oberland Dr, Midway, Utah |
| Authorized Official Name and Position | Tracy Washington (THERAPIST/OWNER) |
| Authorized Official Contact | 8018421492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Elevated Therapy & Coaching, Pllc 125 W Main St Unit 466 Midway UT 84049-8020 Ph: (801) 842-1492 | Life Elevated Therapy & Coaching, Pllc 1057 Oberland Dr Midway UT 84049-6112 Ph: (801) 842-1492 |
| NPI Number | 1396549929 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396549929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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