Healthcare Provider Details

I. General information

NPI: 1851204127
Provider Name (Legal Business Name): ELEVATION SPEECH AND FEEDING THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6587 MOONCREST DR
SPARKS NV
89436-8232
US

IV. Provider business mailing address

6587 MOONCREST DR
SPARKS NV
89436-8232
US

V. Phone/Fax

Practice location:
  • Phone: 775-901-0641
  • Fax:
Mailing address:
  • Phone: 775-901-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: EMILY HARRIS
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: M.S., CCC-SLP, CAS
Phone: 775-901-0641