Provider Demographics
NPI:1437543170
Name:LAURA'S MENTAL HEALTH AND WELLNESS COUNSELING
Entity Type:Organization
Organization Name:LAURA'S MENTAL HEALTH AND WELLNESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:435-817-5766
Mailing Address - Street 1:135 N 300 E
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-1658
Mailing Address - Country:US
Mailing Address - Phone:435-817-5766
Mailing Address - Fax:
Practice Address - Street 1:135 N 300 E
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-1658
Practice Address - Country:US
Practice Address - Phone:435-817-5766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8161058-6009251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health