Healthcare Provider Details

I. General information

NPI: 1124874169
Provider Name (Legal Business Name): PEACE OF MIND MENTAL HEALTH AND BEHAVIOR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N 1680 E BLDG F
ST GEORGE UT
84790-2579
US

IV. Provider business mailing address

230 N 1680 E BLDG F
ST GEORGE UT
84790-2579
US

V. Phone/Fax

Practice location:
  • Phone: 435-417-0073
  • Fax:
Mailing address:
  • Phone: 435-417-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
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: BRYNN BELL
Title or Position: OWNER
Credential: LCSW, BCBA, LBA
Phone: 435-862-1625