PURPLE SKY COUNSELING, PLLC


Address: 450 W 910 S Ste 12, Heber City, UT 84032-2447
Phone: 4357093060

PURPLE SKY COUNSELING, PLLC (NPI# 1699220764) 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) 1699220764
Entity Type Organization
Organization Name PURPLE SKY COUNSELING, PLLC
Other Organization Name PEAK PERFORMANCE AND COUNSELING SERVICES, PLLC
Practice Address 450 W 910 S Ste 12
Heber City
UT 84032-2447
Practice Telephone 4357093060
Practice Fax Number 4357093060
Mailing Telephone 4357093060
Mailing Fax Number 4357093060
Enumeration Date 2016-08-18
Last Update Date 2017-12-07
Authorized Official Name CASSIDY DUHADWAY (OWNER)
Authorized Official Telephone 4357093060
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT 1558621433 05

Other Provider/Organization Names

Other Name Type Code
Peak Performance and Counseling Services, PLLC Former Legal Business Name - Organization

Office Location

Street Address 450 W 910 S STE 12
City HEBER CITY
State UT
Zip Code 84032-2447

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1003218512 Zebadia Pessetto Physical Therapist 380 E 1500 S Ste 102, Heber City, UT 84032 2014-09-16
1033471602 Erik Mcclure Anesthesiology 899 E 200 S, Heber City, UT 84032 2012-06-11
1164716122 Alicia M Power Marriage & Family Therapist 55 South 500 North, Heber City, UT 84032 2011-06-07
1073849873 Ron T Dummar Chiropractor 325 West 600 S St. 403, Heber, UT 84032 2009-10-29
1407031255 Wasatch County Health Department Public Health or Welfare 55 East 500 South, Heber City, UT 84032 2007-12-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City HEBER CITY
Zip Code 84032

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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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