Healthcare Provider Details

I. General information

NPI: 1083254403
Provider Name (Legal Business Name): WHISPERING FIREFLIES COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W HARDING AVE STE C3
CEDAR CITY UT
84720-3091
US

IV. Provider business mailing address

66 W HARDING AVE STE C3
CEDAR CITY UT
84720-3091
US

V. Phone/Fax

Practice location:
  • Phone: 435-241-7150
  • Fax:
Mailing address:
  • Phone: 435-241-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE PELLETIER
Title or Position: OWNER
Credential: LISW
Phone: 435-241-7150