| Align Therapy And Coaching Llc | |
|
321 N Mall Dr. Bldg R Ste. 123 St. George UT 84790 | |
| (585) 505-4111 | |
| Not Available |
| Full Name | Align Therapy And Coaching Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 N Mall Dr., St. George, Utah |
| Authorized Official Name and Position | Candice Fry (THERAPIST/OWNER) |
| Authorized Official Contact | 5855054111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Therapy And Coaching Llc 321 N Mall Dr Ste R123 St George UT 84790-7350 Ph: (435) 705-8132 | Align Therapy And Coaching Llc 321 N Mall Dr. Bldg R Ste. 123 St. George UT 84790 Ph: (585) 505-4111 |
| NPI Number | 1265219190 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 6800332339 |
|---|---|
| Medicare Enrollment ID | O20240722000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265219190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Candice Leah Fry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417533845 PECOS PAC ID: 8527504059 Enrollment ID: I20240722000403 |
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