MEDICARE: ELEVATED PATHWAYS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1407708548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATED PATHWAYS LLC

Provider Business Mailing Address
First Line	:	2249 N LOOP 336 W STE B
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3639
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2249 N LOOP 336 W STE B
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3639
Country	:	US
Telephone Number	:	936-444-4220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZACHARY MILLER
Credential	:
Telephone Number	:	346-235-9688

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/23/2026

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Directions to “ELEVATED PATHWAYS LLC ” Practice Location

Language	Start Address	Practice Location

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