Sacred Hoop Healing Center

NPI #1760730600 in Provo, Utah

Provider Information

NPI Number: 1760730600
Entity Type: Organization
Organization Name: Sacred Hoop Healing Center
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 27, 2012
Last Updated: Aug 27, 2012

Practice Location

Address: 210 W 200 N
Address 2: SUITE 106
City: Provo
State: Utah
ZIP Code: 84601-2852
Phone: (801) 400-8460

Authorized Official

Name: MR. NEIL ROGER GOSLIN, LPC
Title: COUNSELOR
Phone: (435) 868-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Marriage & Family Therapist	106H00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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