| Changes For Life | |
|
1086 S Main St Suite #2 St George UT 84770-5277 | |
| (435) 218-2414 | |
| Not Available |
| Full Name | Changes For Life |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1086 S Main St, St George, Utah |
| Authorized Official Name and Position | Marcie D Gray (OWNER/OPERATOR) |
| Authorized Official Contact | 4352182414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes For Life 1086 S Main St Suite #2 St George UT 84770-5277 Ph: (435) 218-2414 | Changes For Life 1086 S Main St Suite #2 St George UT 84770-5277 Ph: (435) 218-2414 |
| NPI Number | 1487038006 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 05/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487038006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6656303-6006 (Utah) | Primary |
| 1041C0700X | Social Worker - Clinical | 266415-3501 (Utah) | Secondary |
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