Provider Demographics
NPI:1104092634
Name:MORNING STAR PROJECTS
Entity type:Organization
Organization Name:MORNING STAR PROJECTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-356-2864
Mailing Address - Street 1:207 S 300 E
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-4743
Mailing Address - Country:US
Mailing Address - Phone:801-356-2864
Mailing Address - Fax:
Practice Address - Street 1:207 S 300 E
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-4743
Practice Address - Country:US
Practice Address - Phone:801-356-2864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52593000140171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty