Provider Demographics
NPI:1922551092
Name:FRANCES-POLL, LEA (CMHC)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:FRANCES-POLL
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:
Other - Last Name:FRANCES-POLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ST. GEORGE EXECUTIVE SUITES
Mailing Address - Street 2:169 WEST 2710 SOUTH CIRCLE, SUITE 203-A2
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7206
Mailing Address - Country:US
Mailing Address - Phone:435-288-1411
Mailing Address - Fax:385-338-5378
Practice Address - Street 1:ST GEORGE EXECUTIVE SUITES
Practice Address - Street 2:169 WEST 2710 SOUTH CIRCLE, SUITE 203-A2
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7206
Practice Address - Country:US
Practice Address - Phone:435-288-1411
Practice Address - Fax:435-338-5378
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT134155-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health