| Homeward Bound Clinic | |
|
395 S Main St Ste 202 Alpine UT 84004-2050 | |
| (716) 466-0940 | |
| Not Available |
| Full Name | Homeward Bound Clinic |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 395 S Main St Ste 202, Alpine, Utah |
| Authorized Official Name and Position | Michael Bruce Mcconkie (CEO) |
| Authorized Official Contact | 7194660940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeward Bound Clinic 5513 W 11000 N Ste 316 Highland UT 84003-8012 Ph: (719) 466-0940 | Homeward Bound Clinic 395 S Main St Ste 202 Alpine UT 84004-2050 Ph: (716) 466-0940 |
| NPI Number | 1093609315 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093609315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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