NPI: 1235656729
Provider Name: FAMILY & RELATIONSHIP WELLNESS THERAPY
Doing Business As: JUSTIN GORDON, LMFT
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
CLIA Number: 46D2068784
Address:
1031 S BLUFF ST
ST GEORGE, UT
ZIP 84770
Phone: (435) 215-3184
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FAMILY & RELATIONSHIP WELLNESS THERAPY is a mental health (including community mental health center) clinic center in St George, UT. FAMILY & RELATIONSHIP WELLNESS THERAPY NPI is 1235656729. The provider is registered as an organization entity type.
The provider Is Doing Business As Justin Gordon, Lmft.
The provider's business location address is:
1031 S BLUFF ST
ST GEORGE, UT
ZIP 84770-206
Phone: (435) 215-3184
Fax: (435) 634-8899
The provider's authorized official is Justin Gordon .
The authorized official title is Therpist/owner and has the following contact phone number (435) 215-3184.
The CLIA number assigned to this NPI record is 46D2068784 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/24/2017 and was last updated on 8/24/2017.