Basic Information
| Provider Information | |||||||||
| NPI: | 1255615787 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CALL | ||||||||
| FirstName: | TINA | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | S.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1919 E 80 SOUTH CIR | ||||||||
| Address2: | |||||||||
| City: | ST GEORGE | ||||||||
| State: | UT | ||||||||
| PostalCode: | 847901464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356192718 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 474 W 200 N | ||||||||
| Address2: | |||||||||
| City: | ST GEORGE | ||||||||
| State: | UT | ||||||||
| PostalCode: | 847704505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356345660 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2011 | ||||||||
| LastUpdateDate: | 10/03/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.