Healthcare Provider Details

I. General information

NPI: 1093635039
Provider Name (Legal Business Name): UNIVERSAL ELEMENTS THERAPY PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13272 NORTH MOUNTAINEER HIGHWAY
ARTHURDALE WV
26520
US

IV. Provider business mailing address

PO BOX 709
REEDSVILLE WV
26547-0709
US

V. Phone/Fax

Practice location:
  • Phone: 681-404-0810
  • Fax:
Mailing address:
  • Phone: 681-404-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MIRANDA TALKINGTON
Title or Position: OWNER, CLINICAL THERAPIST
Credential: LICSW
Phone: 681-404-0810