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Organization
ELEVATED MENTAL HEALTH AND WELLNESS CENTER LLC
Active
Organization
ELEVATED MENTAL HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA WHITE (EMPLOYEE)
(435) 668-2108
Entity
Organization
Contact information
Practice address
249 E TABERNACLE ST STE 104, ST GEORGE, UT 84770-2951
(435) 625-1159
Mailing address
249 E TABERNACLE ST STE 104, ST GEORGE, UT 84770-2951
(435) 625-1159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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