Organization
MESSICK FAMILY COUNSELING LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL SMITH (OFFICE MANAGER)
(435) 241-4920
Entity
Organization
Contact information
Practice address
66 W VINE ST # 1, TOOELE, UT 84074-2185
(435) 241-4920
Mailing address
PO BOX 425, TOOELE, UT 84074-0425
(435) 241-4920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902130123
NPI
UT
Enumeration date
05/16/2019
Last updated
06/11/2019
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