| Kasama Health & Wellness | |
|
1034 Rsi Dr Unit 120 Logan UT 84321-2203 | |
| (435) 512-7825 | |
| Not Available |
| Full Name | Kasama Health & Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1034 Rsi Dr Unit 120, Logan, Utah |
| Authorized Official Name and Position | Liani Eccles (PMHNP) |
| Authorized Official Contact | 4359620130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasama Health & Wellness 1545 E 2000 N North Logan UT 84341-2163 Ph: () - | Kasama Health & Wellness 1034 Rsi Dr Unit 120 Logan UT 84321-2203 Ph: (435) 512-7825 |
| NPI Number | 1689435281 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689435281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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