Healthcare Provider Details
I. General information
NPI: 1619705266
Provider Name (Legal Business Name): FINDING PEACE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3652 W 1350 N
CEDAR CITY UT
84721-8376
US
IV. Provider business mailing address
3652 W 1350 N
CEDAR CITY UT
84721-8376
US
V. Phone/Fax
- Phone: 435-531-0587
- Fax:
- Phone: 435-531-0587
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
DONALD
MOCK
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 435-531-0587