Healthcare Provider Details

I. General information

NPI: 1114726973
Provider Name (Legal Business Name): INTEGRATED HEALING CENTERS ST GEORGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W MERRILL ROAD SUITE 102
WASHINGTON UT
84780
US

IV. Provider business mailing address

750 W MERRILL RD UNIT 102
WASHINGTON UT
84780-3793
US

V. Phone/Fax

Practice location:
  • Phone: 801-550-7298
  • Fax:
Mailing address:
  • Phone: 435-272-3972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GABE UTLEY
Title or Position: CFO
Credential:
Phone: 801-550-7298