Provider Demographics
NPI:1265104673
Name:PRECIPICE COUNSELING, LLC
Entity type:Organization
Organization Name:PRECIPICE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-200-3107
Mailing Address - Street 1:PO BOX 861
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84029-0861
Mailing Address - Country:US
Mailing Address - Phone:435-200-3107
Mailing Address - Fax:435-291-3201
Practice Address - Street 1:352 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-1657
Practice Address - Country:US
Practice Address - Phone:435-200-3107
Practice Address - Fax:435-291-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty