NPI 1376323360 · live from the CMS NPI Registry
Advanced Neuro Wellness LLC
Counselor, Mental Health in St George, UT. National Provider Identifier 1376323360, active.
NPI record
| NPI | 1376323360 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1490 E Foremaster Dr Ste 250, St George, UT 84790 |
| Practice phone | 435-351-2220 |
| Enumerated | October 5, 2023 |
| Last updated | February 26, 2024 |
| Authorized official | Caprice Compton, Head Clinician |
| Other names | Advanced Neuro Healing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.