Organization
MT NEBO MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA BERGE LMHC (OWNER)
(801) 403-4959
Entity
Organization
Contact information
Practice address
1172 E 100 N STE 10, PAYSON, UT 84651-1691
(801) 403-4959
Mailing address
1108 W 1290 S, PAYSON, UT 84651-5770
(801) 403-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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