Kathryn Wingard Creative Counseling

LBN: Radiant Moon, Pllc
Kathryn Wingard Creative Counseling is an health care organization with primary practice located at 940 E South Union Ave , Midvale UT 84047-2302. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Radiant Moon, Pllc can be contacted via phone (385) 346-0031, or through Wingard, Kathryn via phone (385) 346-0031.

Contact Information

Primary practice address
940 E South Union Ave Midvale UT 84047-2302
Phone: (385) 346-0031
Fax: (385) 446-0973
Website:
Map and Directions
Authorized official contact:
Name: Wingard, Kathryn LCMHC, ATR-BC
Phone: (385) 346-0031

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1811651938
LBN Legal business name Radiant Moon, Pllc
DBA Doing business as Kathryn Wingard Creative Counseling
Authorized official Wingard, Kathryn LCMHC, ATR-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2021
Last updated Dec 19th, 2023 - about 2 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.

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