Provider Demographics
NPI:1336861715
Name:MCNAUGHTON THERAPY PLLC ANDREW MCNAUGHTON SOLE MBR
Entity Type:Organization
Organization Name:MCNAUGHTON THERAPY PLLC ANDREW MCNAUGHTON SOLE MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-575-9675
Mailing Address - Street 1:169 W 2710 SOUTH CIR STE 202A
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7205
Mailing Address - Country:US
Mailing Address - Phone:773-575-9675
Mailing Address - Fax:
Practice Address - Street 1:169 W 2710 SOUTH CIR STE 202A
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7205
Practice Address - Country:US
Practice Address - Phone:773-575-9675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty