Healthcare Provider Details

I. General information

NPI: 1881424109
Provider Name (Legal Business Name): YUNJIE HU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 E RIVERSIDE DR STE 300
ST GEORGE UT
84790-7352
US

IV. Provider business mailing address

585 E RIVERSIDE DR
ST GEORGE UT
84790-7141
US

V. Phone/Fax

Practice location:
  • Phone: 435-634-7608
  • Fax: 435-674-0092
Mailing address:
  • Phone: 435-634-7608
  • Fax: 435-674-0092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: