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General NPI Number Information
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NPI Number | 1760360739
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Entity Type | Organization
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Legal Business Name | PEBBLE CREEK COUNSELING
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 215 S 200 E
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City | TOOELE
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State | UT
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Zip | 84074-2714
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Country | US
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Telephone | 435-249-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 215 S 200 E
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City | TOOELE
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State | UT
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Zip | 84074-2714
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEATHER MORROW
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Credential |
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Telephone | 801-680-0629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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