| Stressout Pllc | |
|
25 S Main St Ste 100c Centerville UT 84014-1846 | |
| (801) 923-2063 | |
| Not Available |
| Full Name | Stressout Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 S Main St Ste 100c, Centerville, Utah |
| Authorized Official Name and Position | Serenity L Hale (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8018232063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stressout Pllc 1025 Oakridge Dr Centerville UT 84014-1667 Ph: (385) 394-9070 | Stressout Pllc 25 S Main St Ste 100c Centerville UT 84014-1846 Ph: (801) 923-2063 |
| NPI Number | 1255176269 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255176269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
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