| Stages Family Therapy Pllc | |
|
4095 E Pony Express Pkwy Ste 15 Eagle Mountain UT 84005-5529 | |
| (801) 200-2506 | |
| Not Available |
| Full Name | Stages Family Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4095 E Pony Express Pkwy Ste 15, Eagle Mountain, Utah |
| Authorized Official Name and Position | Derek Willis Hagey (CO-OWNER) |
| Authorized Official Contact | 8012002506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stages Family Therapy Pllc 2039 E Ficus Way Eagle Mtn UT 84005-5741 Ph: (801) 200-2506 | Stages Family Therapy Pllc 4095 E Pony Express Pkwy Ste 15 Eagle Mountain UT 84005-5529 Ph: (801) 200-2506 |
| NPI Number | 1437740487 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437740487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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