| Abundance Family Therapy | |
|
48 S 2500 W Ste 240 Hurricane UT 84737-3382 | |
| (435) 236-3177 | |
| Not Available |
| Full Name | Abundance Family Therapy |
|---|---|
| Speciality | Counselor |
| Location | 48 S 2500 W Ste 240, Hurricane, Utah |
| Authorized Official Name and Position | Rebecca Grondel (PRESIDENT) |
| Authorized Official Contact | 3602597369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Family Therapy Po Box 911565 Saint George UT 84791-1565 Ph: (360) 259-7369 | Abundance Family Therapy 48 S 2500 W Ste 240 Hurricane UT 84737-3382 Ph: (435) 236-3177 |
| NPI Number | 1710619135 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3870930563 |
|---|---|
| Medicare Enrollment ID | O20240318000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710619135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca E Grondel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548803810 PECOS PAC ID: 9931546629 Enrollment ID: I20240417002916 |
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