| Family Mental Health | |
|
1060 S Main St Ste 301 St George UT 84770-5260 | |
| (435) 650-9854 | |
| (435) 200-3579 |
| Full Name | Family Mental Health |
|---|---|
| Speciality | Psychologist |
| Location | 1060 S Main St Ste 301, St George, Utah |
| Authorized Official Name and Position | Austin Kyle Elder (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4356509854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Mental Health 2210 E 550 N St George UT 84790-1522 Ph: (435) 650-9854 | Family Mental Health 1060 S Main St Ste 301 St George UT 84770-5260 Ph: (435) 650-9854 |
| NPI Number | 1144899170 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7315342649 |
|---|---|
| Medicare Enrollment ID | O20210824002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144899170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Austin K Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881651115 PECOS PAC ID: 0749268530 Enrollment ID: I20040708001298 |
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