Individual
LEXIS MICHELLE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
585 MAIN STREET, GREEN RIVER, UT 84525
(435) 564-3434
Mailing address
585 MAIN STREET, GREEN RIVER, UT 84525-7757
(143) 556-4343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13438374-6004
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2022
Last updated
04/10/2025
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