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Contact Information

PINE FOREST COUNSELING, PLLC
1031 S BLUFF ST
SAINT GEORGE, UT84770-5206
 Phone: 435-319-0995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PINE FOREST COUNSELING, PLLC

NPI # 1356735237
LBN Legal business name PINE FOREST COUNSELING, PLLC
Authorized official DYLAN MATSUMORI - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2015
Last updated 03/27/2015 - About 11 years ago
Identifiers
UT License # 9133425-2501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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