Provider Demographics
NPI:1235460312
Name:PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC
Entity Type:Organization
Organization Name:PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC
Other - Org Name:PREMIER TMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLAIM
Authorized Official - Middle Name:SIDNEY
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:435-216-9290
Mailing Address - Street 1:1490 E FOREMASTER DR STE 340
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4506
Mailing Address - Country:US
Mailing Address - Phone:435-216-9290
Mailing Address - Fax:435-865-9115
Practice Address - Street 1:1490 E FOREMASTER DR STE 340
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4506
Practice Address - Country:US
Practice Address - Phone:435-216-9290
Practice Address - Fax:435-865-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty