| Serenity Recovery And Wellness Of Payson, Llc | |
|
1868 N 1120 W Provo UT 84604-1179 | |
| (801) 984-0184 | |
| (801) 984-0186 |
| Full Name | Serenity Recovery And Wellness Of Payson, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1868 N 1120 W, Provo, Utah |
| Authorized Official Name and Position | Lyndsey Proctor (DIRECTOR) |
| Authorized Official Contact | 8016187331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Recovery And Wellness Of Payson, Llc 1868 N 1120 W Provo UT 84604-1179 Ph: (801) 984-0184 | Serenity Recovery And Wellness Of Payson, Llc 1868 N 1120 W Provo UT 84604-1179 Ph: (801) 984-0184 |
| NPI Number | 1255827416 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255827416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Utah) | Primary |
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