| Elevated Counseling And Wellness Llc | |
|
163 W 1600 S Ste 3 Saint George UT 84770-6715 | |
| (435) 216-8839 | |
| Not Available |
| Full Name | Elevated Counseling And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 163 W 1600 S Ste 3, Saint George, Utah |
| Authorized Official Name and Position | Justin K Stum (OWNER) |
| Authorized Official Contact | 4355749193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Counseling And Wellness Llc Po Box 911763 Saint George UT 84791-1763 Ph: (435) 574-9193 | Elevated Counseling And Wellness Llc 163 W 1600 S Ste 3 Saint George UT 84770-6715 Ph: (435) 216-8839 |
| NPI Number | 1851023667 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 04/30/2024 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 5597106260 |
|---|---|
| Medicare Enrollment ID | O20240513000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851023667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Justin K Stum |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457590671 PECOS PAC ID: 7113368887 Enrollment ID: I20240513000885 |
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