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Radiant Moon, Pllc
Adult Mental Health Clinic/Center in Midvale, Utah
NPI 1811651938

Radiant Moon, Pllc is an Adult Mental Health Clinic/Center based in Salt Lake City, UT and is specialized in Adult Mental Health. Radiant Moon, Pllc practices in Midvale, UT. The NPI Number for Radiant Moon, Pllc is 1811651938 and holds a License No. (Utah).

The current practice location address for Radiant Moon, Pllc is 940 E South Union Ave, Midvale, UT and can be reached out via phone at 385-346-0031 and via fax at 385-446-0973.

Location: 940 E South Union Ave, Midvale, UT, 84123-7925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811651938
Provider Name
Radiant Moon, Pllc
Credential
Provider Entity Type
Organization
Address
940 E South Union Ave, Midvale, UT, 84123-7925
Phone Number
385-346-0031
Fax Number
385-446-0973
Provider Enumeration Date
10/25/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
940 E South Union Ave
City
Midvale
State
Utah
Zip
84047-2302
Phone Number
385-346-0031
Fax Number
385-446-0973
person
Provider Business Mailing Address Details
Address
940 E South Union Ave
City
Midvale
State
Utah
Zip
84047-2302
Phone Number
385-346-0031
Fax Number
385-446-0973
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Art Therapist
Speciality
-
Taxonomy
221700000X
License No.
()
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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