PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC (NPI# 1235460312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235460312 |
Entity Type | Organization |
Organization Name | PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC |
Other Organization Name | PREMIER TMS |
Practice Address |
1490 E Foremaster Dr Ste 340 St George UT 84790-4506 |
Practice Telephone | 4352169290 |
Practice Fax Number | 4358659115 |
Mailing Telephone | 4352169290 |
Mailing Fax Number | 4358659115 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2019-05-23 |
Authorized Official Name | DR. WILLAIM SIDNEY YOUNG (PRESIDENT) |
Authorized Official Telephone | 4352169290 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Premier PCC, PC | Doing Business As Name - Organization |
Premier TMS | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1251 Northfield Rd, Suite 301a, Cedar City, UT 847218622 | 4358659119 | 4358659115 |
Street Address |
1490 E FOREMASTER DR STE 340 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-4506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
Find all providers in zip 84790 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1023587458 | Tms Success Pllc | Clinic/Center | 321 N Mall Dr Ste 101, St George, UT 84790-7302 | 2018-11-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.