Organization
HEARTHSTONE FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JOY BLUMELL CMHC (MEMBER/MANAGER)
(801) 362-9953
Entity
Organization
Contact information
Practice address
578 E 300 S, AMERICAN FORK, UT 84003-3831
(801) 763-5010
Mailing address
243 RIDGE RD, OREM, UT 84057-7225
(801) 362-9953
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9838277-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952791741
—
UT
Enumeration date
07/12/2018
Last updated
07/12/2018
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