| Sunstone Healing Pllc | |
|
4308 S Park St Millcreek UT 84107-2914 | |
| (801) 949-8459 | |
| Not Available |
| Full Name | Sunstone Healing Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4308 S Park St, Millcreek, Utah |
| Authorized Official Name and Position | Monica Mason (OWNER) |
| Authorized Official Contact | 8019498459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstone Healing Pllc 4308 S Park St Millcreek UT 84107-2914 Ph: () - | Sunstone Healing Pllc 4308 S Park St Millcreek UT 84107-2914 Ph: (801) 949-8459 |
| NPI Number | 1760195671 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Medicare PECOS PAC ID | 4183081342 |
|---|---|
| Medicare Enrollment ID | O20230601003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760195671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Monica Nicole Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326340753 PECOS PAC ID: 0345619540 Enrollment ID: I20221209002610 |
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