| Evolving Light Counseling Llc | |
|
32 E 100 S Ste 202 St George UT 84770-3495 | |
| (435) 668-4956 | |
| (702) 566-4575 |
| Full Name | Evolving Light Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 32 E 100 S Ste 202, St George, Utah |
| Authorized Official Name and Position | Laurey Ray (BILLING/CREDENTIALING) |
| Authorized Official Contact | 7022797270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Light Counseling Llc 32 E 100 S Ste 202 St George UT 84770-3495 Ph: (435) 668-4956 | Evolving Light Counseling Llc 32 E 100 S Ste 202 St George UT 84770-3495 Ph: (435) 668-4956 |
| NPI Number | 1194304931 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194304931 | NPI | - | NPPES |
| 193400000X | Medicaid | UT |
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