Healthcare Provider Details

I. General information

NPI: 1922551092
Provider Name (Legal Business Name): LEA FRANCES-POLL CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEA FRANCES-POLL

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 05/24/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST GEORGE EXECUTIVE SUITES 169 WEST 2710 SOUTH CIRCLE, SUITE 203-A2
ST. GEORGE UT
84790-7206
US

IV. Provider business mailing address

ST. GEORGE EXECUTIVE SUITES 169 WEST 2710 SOUTH CIRCLE, SUITE 203-A2
SAINT GEORGE UT
84790-7206
US

V. Phone/Fax

Practice location:
  • Phone: 435-288-1411
  • Fax: 435-338-5378
Mailing address:
  • Phone: 435-288-1411
  • Fax: 385-338-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number134155-6004
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: