Organization
HIGH DESERT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEENAN LASUDC (EXECUTIVE ADMINISTRATOR)
(435) 673-2299
Entity
Organization
Contact information
Practice address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2299
(435) 673-0322
Mailing address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2299
(435) 673-0322
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4047527
—
UT
Enumeration date
08/08/2017
Last updated
08/26/2025
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