| Moonrise Counseling And Wellness | |
|
296 W 100 S Payson UT 84651-2116 | |
| (801) 473-3645 | |
| Not Available |
| Full Name | Moonrise Counseling And Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 296 W 100 S, Payson, Utah |
| Authorized Official Name and Position | Brooklyn Elise Cook (OWNER/MANAGER) |
| Authorized Official Contact | 6788600233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonrise Counseling And Wellness 296 W 100 S Payson UT 84651-2116 Ph: (801) 473-3645 | Moonrise Counseling And Wellness 296 W 100 S Payson UT 84651-2116 Ph: (801) 473-3645 |
| NPI Number | 1649017104 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649017104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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