Organization
STRESSOUT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENITY L HALE CMHC (CLINICAL MENTAL HEALTH COUNSELOR)
(801) 823-2063
Entity
Organization
Contact information
Practice address
25 S MAIN ST STE 100C, CENTERVILLE, UT 84014-1846
(801) 923-2063
Mailing address
1025 OAKRIDGE DR, CENTERVILLE, UT 84014-1667
(385) 394-9070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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