Healthcare Provider Details

I. General information

NPI: 1598677890
Provider Name (Legal Business Name): CRYSTAL MOREY ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N STATE ST STE 201
HURRICANE UT
84737-2355
US

IV. Provider business mailing address

121 N 100 E
LA VERKIN UT
84745-5526
US

V. Phone/Fax

Practice location:
  • Phone: 435-932-3672
  • Fax:
Mailing address:
  • Phone: 435-319-9574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14301388-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: