Spring Creek Wellness, Llc | |
1990 N Park Grove Dr Washington UT 84780-3011 | |
(801) 499-7869 | |
(801) 513-2065 |
Full Name | Spring Creek Wellness, Llc |
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Speciality | Counselor - Mental Health |
Location | 1990 N Park Grove Dr, Washington, Utah |
Authorized Official Name and Position | Desiree L Porter (OWNER) |
Authorized Official Contact | 8014997869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spring Creek Wellness, Llc 1990 N Park Grove Dr Washington UT 84780-3011 Ph: (801) 499-7869 | Spring Creek Wellness, Llc 1990 N Park Grove Dr Washington UT 84780-3011 Ph: (801) 499-7869 |
NPI Number | 1952814931 |
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Provider Enumeration Date | 11/13/2017 |
Last Update Date | 12/17/2021 |
Certification Date | 12/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952814931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6822650-6004 (Utah) | Primary |
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