MERCY S STOUT


Address: 1150 Lydia's Canyon Rd, Glendale, UT 84729
Phone: 4355922296

MERCY S STOUT (NPI# 1316138340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316138340
Entity Type Individual
Full Name MERCY S STOUT
Credential CMHC
Practice Address 1150 Lydia's Canyon Rd
Glendale
UT 84729
Mailing Address Po Box 235
Glendale
UT 84729-0235
Practice Telephone 4355922296
Mailing Telephone 4355922296
Enumeration Date 2007-08-06
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
71184256004 UT Behavioral Health & Social Service Providers

Office Location

Street Address 1150 LYDIA'S CANYON RD
City GLENDALE
State UT
Zip Code 84729

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 84729

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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