Healthcare Provider Details

I. General information

NPI: 1154232023
Provider Name (Legal Business Name): ELEVATE FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28338 CONSTELLATION RD STE 929
VALENCIA CA
91355-5012
US

IV. Provider business mailing address

24398 EL MOLINA AVE
VALENCIA CA
91355-6039
US

V. Phone/Fax

Practice location:
  • Phone: 661-360-6649
  • Fax:
Mailing address:
  • Phone: 661-208-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALISHA KINGSLEY
Title or Position: OWNER
Credential: LMFT
Phone: 661-208-6085