Elevated and Empowered Mental Health, Marriage and Family Therapy, Pro

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ELEVATED AND EMPOWERED MENTAL HEALTH, MARRIAGE AND FAMILY THERAPY, PRO

Doing business as

ELEVATED AND EMPOWERED MENTAL HEALTH AND WELLNESS

Practice address

1206 W Avenue J Ste 200B
Lancaster, CA 93534-2955

Phone

(661) 235-5101

NPI assigned

Jun 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaylale Taylor, LMFTNPI 1255512158

Title

Ceo

Phone

(661) 235-5101

Specialties & licenses 2

Addresses

Other names 1

• ELEVATED AND EMPOWERED MENTAL HEALTH AND WELLNESS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaylale Quinsha Taylor

  • Marriage & Family Therapist
  • Lancaster, CA
  • NPI 1255512158
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1396586756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE STE 4551",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "661-235-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W AVENUE J STE 200B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342955",
            "telephone_number": "661-235-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED AND EMPOWERED MENTAL HEALTH, MARRIAGE AND FAMILY THERAPY, PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAYLALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-235-5101",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELEVATED AND EMPOWERED MENTAL HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.