| Raven Hall Llc | |
|
28 S Main St Teasdale UT 84773-7722 | |
| (435) 491-0132 | |
| Not Available |
| Full Name | Raven Hall Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 28 S Main St, Teasdale, Utah |
| Authorized Official Name and Position | R. Michael Peyton (THERAPIST/MANAGER) |
| Authorized Official Contact | 4354910132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Hall Llc Po Box 132 Teasdale UT 84773-0132 Ph: (435) 491-0132 | Raven Hall Llc 28 S Main St Teasdale UT 84773-7722 Ph: (435) 491-0132 |
| NPI Number | 1689489635 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689489635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |