Carlton Mangum is a Mental Health in St. George, Utah. Carlton Mangum practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carlton Mangum is 1194947051. The last update date is 2020-08-05.
Carlton Mangum's current location address is 474 W 200 N, St. George, Utah. You can contact this provider via phone number 4356345600 and fax number 4359868700. The mailing address for Carlton Mangum is 474 W 200 N, St. George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlton Mangum |
|---|---|
| Address | 474 W 200 N, St. George, Utah |
| Phone Number | 4356345600 |
| Fax Number | 4359868700 |
| Sole Proprietor | N |
| Credentials | SSW |
NPI Number Detail
| NPI Number | 1194947051 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | 474 W 200 N |
|---|---|
| City | St. George |
| State | Utah (UT) |
| Post Code | 847704505 |
| Phone Number | 4356345600 |
| Fax Number | 4359868700 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 6496349-6004 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MANGUC | UT | SBHC STAFF CODE | |
| 6496349-3503 | UT | STATE LICENSE |
Post Comment/ Review Below
What is the Carlton Mangum's unique identification number?
The Carlton Mangum has been assigned the NPI (National Provider Identifier) Number 1194947051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Carlton Mangum's facilities are geographically located?
The facilities of Carlton Mangum are physically situated at the following location: 474 W 200 N, St. George, UT, 847704505.
What is Carlton Mangum's area of expertise and its corresponding taxonomy classification?
The Carlton Mangum's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1194947051 to Carlton Mangum?
The Carlton Mangum received its 1194947051 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the Carlton Mangum's information last updated?
The Carlton Mangum's information was last updated on 2020-08-05.