| Mrs Amanda K Banfill, LCSW | |
|
3929 N 2700 W, Farr West, UT 84404-5095 | |
| (435) 232-2895 | |
| Not Available |
| Full Name | Mrs Amanda K Banfill |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3929 N 2700 W, Farr West, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740849389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8148339-3501 (Utah) | Primary |
| Entity Name | Counseling Associates Of Utah A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427695980 PECOS PAC ID: 3779904461 Enrollment ID: O20200604002381 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda K Banfill, LCSW 664 N Main St Ste 201, Logan, UT 84321-6204 Ph: (844) 416-4673 | Mrs Amanda K Banfill, LCSW 3929 N 2700 W, Farr West, UT 84404-5095 Ph: (435) 232-2895 |
Hannah Fick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W, Suite 6, Farr West, UT 84404 Phone: 801-605-3086 | |
Michaela Sofia Higashiyama, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2850 N 2000 W Ste 101, Farr West, UT 84404 Phone: 801-528-5095 Fax: 801-528-5094 | |
Madison Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W Ste 6, Farr West, UT 84404 Phone: 801-605-3086 | |
Taylor Bell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W Ste 6, Farr West, UT 84404 Phone: 801-605-3086 |