# STRESSOUT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255176269
- **Authorized official:** SERENITY L HALE CMHC (CLINICAL MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (801) 823-2063

## Contact information

- **Practice address:** 25 S MAIN ST STE 100C, CENTERVILLE, UT 84014-1846
- **Practice address phone:** (801) 923-2063
- **Mailing address:** 1025 OAKRIDGE DR, CENTERVILLE, UT 84014-1667
- **Mailing address phone:** (385) 394-9070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024