Organization
DAYBREAK FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARA MITCHELL (OWNER)
(435) 668-4138
Entity
Organization
Contact information
Practice address
1173 S 250 W STE 203, ST GEORGE, UT 84770-6741
(435) 668-4138
(435) 668-4138
Mailing address
1173 S 250 W STE 203, ST GEORGE, UT 84770-6741
(435) 668-4138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8208838-6004
UT
261QM0850X
Adult Mental Health Clinic/Center
Primary
8208838-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487927844
INDIVIDUAL NPI
UT
Enumeration date
08/21/2017
Last updated
05/12/2018
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