Advanced Neuro Wellness LLC

Organization Active NPI Mental Health Counselor · St George, UT

NPI 1376323360 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1376323360
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
ADVANCED NEURO WELLNESS LLC
Practice address
1490 E Foremaster Dr Ste 250
St George, UT 84790-4501
Phone
(435) 351-2220
Fax
(435) 351-2202
NPI assigned
Oct 5, 2023
Organization subpart
No

Authorized official

Name
Caprice Elizabeth Compton
Title
Head Clinician
Phone
(435) 351-2220

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Advanced Neuro Healing (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Psychiatric/Mental Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0808X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X

Addresses

Primary practice location

1490 E Foremaster Dr Ste 250
St George, UT 84790-4501

Mailing address

1490 E Foremaster Dr Ste 250
St George, UT 84790-4501
Phone (435) 272-7580

Other names

  • Advanced Neuro Healing Doing business as

Other providers in St George, UT

All providers in St George, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.