| Life Elevated Therapy & Coaching, PLLC | |
|
972 E Deer Arch Ln Draper UT 84020-1369 | |
| (801) 842-1492 | |
| (801) 872-7695 |
| Full Name | Life Elevated Therapy & Coaching, PLLC |
|---|---|
| Speciality | Social Worker |
| Location | 972 E Deer Arch Ln, Draper, Utah |
| Authorized Official Name and Position | Tracy Elle Thomas (THERAPIST/OWNER) |
| Authorized Official Contact | 4357096771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Elevated Therapy & Coaching, PLLC 138 E 12300 S Unit 838 Draper UT 84020-7976 Ph: (435) 709-6771 | Life Elevated Therapy & Coaching, PLLC 972 E Deer Arch Ln Draper UT 84020-1369 Ph: (801) 842-1492 |
| NPI Number | 1396549929 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 06/22/2026 |
| Certification Date | 06/22/2026 |
| Medicare PECOS PAC ID | 1951892595 |
|---|---|
| Medicare Enrollment ID | O20251112001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396549929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Tracy Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891430914 PECOS PAC ID: 6406388438 Enrollment ID: I20241016000815 |
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