| Shiloh Mental Health Pllc | |
|
3210 N Canyon Rd Ste 204 Provo UT 84604-5608 | |
| (385) 204-6273 | |
| Not Available |
| Full Name | Shiloh Mental Health Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3210 N Canyon Rd Ste 204, Provo, Utah |
| Authorized Official Name and Position | Tanner Moffat (OWNER) |
| Authorized Official Contact | 3852046273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Mental Health Pllc 3210 N Canyon Rd Ste 204 Provo UT 84604-5608 Ph: (385) 204-6273 | Shiloh Mental Health Pllc 3210 N Canyon Rd Ste 204 Provo UT 84604-5608 Ph: (385) 204-6273 |
| NPI Number | 1497698526 |
|---|---|
| Provider Enumeration Date | 04/13/2026 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497698526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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