| Family Mental Health | |
|
249 E Tabernacle St Ste 100 St George UT 84770-2951 | |
| (435) 650-9854 | |
| Not Available |
| Full Name | Family Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 249 E Tabernacle St Ste 100, St George, Utah |
| Authorized Official Name and Position | Kyle Elder (OWNER) |
| Authorized Official Contact | 4356509854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Mental Health 249 E Tabernacle St Ste 100 St George UT 84770-2951 Ph: () - | Family Mental Health 249 E Tabernacle St Ste 100 St George UT 84770-2951 Ph: (435) 650-9854 |
| NPI Number | 1144899170 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 7315342649 |
|---|---|
| Medicare Enrollment ID | O20210824002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144899170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Austin K Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881651115 PECOS PAC ID: 0749268530 Enrollment ID: I20040708001298 |
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