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General NPI Number Information
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NPI Number | 1467268367
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Entity Type | Organization
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Legal Business Name | AMETHYST COUNSELING
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 835 E 4800 S STE 220
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City | MURRAY
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State | UT
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Zip | 84107-5533
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Country | US
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Telephone | 801-928-3642
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 E 4750 S APT F5
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City | MILLCREEK
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State | UT
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Zip | 84117-8022
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Country | US
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Telephone | 801-928-3642
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | HAYLEY BURR
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Credential | LCMHC
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Telephone | 801-928-3642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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