Healthcare Provider Details

I. General information

NPI: 1962108316
Provider Name (Legal Business Name): JUNIPER HILL COUNSELING & COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 N MAIN ST # 204
SPRING CITY UT
84662-7707
US

IV. Provider business mailing address

189 N 200 E
MOUNT PLEASANT UT
84647-1406
US

V. Phone/Fax

Practice location:
  • Phone: 406-261-5139
  • Fax:
Mailing address:
  • Phone: 406-261-5136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
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: MRS. SARAH STARBIRD ALLEN
Title or Position: OWNER
Credential: LCMHC
Phone: 406-261-5139