Provider Demographics
NPI:1720594922
Name:MICHAEL GURR, PLLC
Entity Type:Organization
Organization Name:MICHAEL GURR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-851-0694
Mailing Address - Street 1:180 N GUNSMOKE PASS
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-3008
Mailing Address - Country:US
Mailing Address - Phone:801-851-0694
Mailing Address - Fax:
Practice Address - Street 1:76 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741-3209
Practice Address - Country:US
Practice Address - Phone:801-803-1227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty