Kintsugi Counseling, Llc
LBN: Kintsugi Counseling, Llc
Kintsugi Counseling, Llc is an health care organization with primary practice located at 150 N Main St Ste 204 , Heber City UT 84032-1671. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Kintsugi Counseling, Llc can be contacted via phone (435) 850-7402, or through Evans-Mcalister, Jacqueline via phone (435) 850-7402.
Contact Information
Primary practice address
150 N Main St Ste 204
Heber City UT 84032-1671
Phone: (435) 850-7402
Fax: (435) 538-7000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1013478346 |
|---|---|
| LBN Legal business name | Kintsugi Counseling, Llc |
| DBA Doing business as | |
| Authorized official | Evans-Mcalister, Jacqueline LCMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2019 |
| Last updated | Apr 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013478346 | NPPES |
| Utah | Other | 9056683-6004 | STATE LICENSE FOR PRACTICE |
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