Unknown Individual – Marriage & Family Therapist, NPI 1447480876
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2020-12-20. Reason: License revocation, suspension, or surrender.
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 545
TOQUERVILLE, UT 847740545
Phone: (435) 680-6276
Type: Mailing
Hurricane City Pool, North 100 West, Hurricane, Washington County, Utah, 84745, United States
SUITE #1
HURRICANE, UT 84737
Phone: (435) 680-6276
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84774)
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