Healthcare Provider Details

I. General information

NPI: 1427761683
Provider Name (Legal Business Name): GEMINI COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 W 400 S
MT PLEASANT UT
84647
US

IV. Provider business mailing address

PO BOX 487
EPHRAIM UT
84627-0487
US

V. Phone/Fax

Practice location:
  • Phone: 541-778-2341
  • Fax: 541-702-0002
Mailing address:
  • Phone: 541-778-2341
  • Fax: 541-702-0002

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: EVA LENORE ALBERT
Title or Position: LCSW/OWNER
Credential: LCSW
Phone: 541-778-2341