Kindled Light Therapy And Wellness
Counselor, Mental Health in Provo, UT. Organization (NPI-2).
NPI number1295463578
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1295463578
- Entity type
- Organization (NPI-2)
- Legal business name
- Kindled Light Therapy And Wellness
- Organization subpart
- No
- Enumeration date
- Aug 12, 2022
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1881 N 1120 WProvo, UT 84604-1180
Phone 801-228-8069
Mailing address
455 W 390 SSpanish Fork, UT 84660-4920
Phone 801-228-8069
Authorized official
Karen Pendleton
Owner
8012288069
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