| M.e.n.d. Counseling Center, L.l.c. | |
|
55 N 200 W Ste 2 St George UT 84770-1303 | |
| (435) 705-9213 | |
| Not Available |
| Full Name | M.e.n.d. Counseling Center, L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 55 N 200 W Ste 2, St George, Utah |
| Authorized Official Name and Position | Kristilaura Smith (OWNER) |
| Authorized Official Contact | 4357059213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.e.n.d. Counseling Center, L.l.c. 55 N 200 W Ste 2 St George UT 84770-1303 Ph: (435) 705-9213 | M.e.n.d. Counseling Center, L.l.c. 55 N 200 W Ste 2 St George UT 84770-1303 Ph: (435) 705-9213 |
| NPI Number | 1376256057 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Medicare PECOS PAC ID | 8123478211 |
|---|---|
| Medicare Enrollment ID | O20240102003152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376256057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennie Pool |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245634518 PECOS PAC ID: 9032569124 Enrollment ID: I20240112003829 |
| Provider Name | Jessica Lyn Cowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134466683 PECOS PAC ID: 0244673085 Enrollment ID: I20240208000889 |
| Provider Name | Melissa Ann Bradford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922387596 PECOS PAC ID: 7911341177 Enrollment ID: I20240215004381 |
| Provider Name | Rebecca Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659013118 PECOS PAC ID: 8325483605 Enrollment ID: I20240226003788 |
| Provider Name | Shannon Sinclair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932681483 PECOS PAC ID: 0042656993 Enrollment ID: I20240313003398 |
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