| Autumn Barker, ACMHC | |
|
4091 W 12600 S Ste 200, Riverton, UT 84096-7302 | |
| (801) 217-9600 | |
| Not Available |
| Full Name | Autumn Barker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4091 W 12600 S Ste 200, Riverton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780074195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9226431-6009 (Utah) | Primary |
| Entity Name | Alberto Souza Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972141588 PECOS PAC ID: 1254766371 Enrollment ID: O20200120000856 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Barker, ACMHC 4091 W 12600 S Ste 200, Riverton, UT 84096-7302 Ph: (801) 217-9600 | Autumn Barker, ACMHC 4091 W 12600 S Ste 200, Riverton, UT 84096-7302 Ph: (801) 217-9600 |
Lauren Blaine Masche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4833 W Victorine St, Riverton, UT 84096 Phone: 801-657-9425 Fax: 801-657-9425 | |
Jessica Lorraine Otero, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12427 S Pasture Rd Ste 201, Riverton, UT 84096 Phone: 385-202-6113 Fax: 385-271-0305 | |
Chloe Coleman, CSW-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 12427 S Pasture Rd Ste 102, Riverton, UT 84096 Phone: 801-208-8838 | |
Amber Lee Mcelreath, CPCI Counselor Medicare: Medicare Enrolled Practice Location: 12427 S Pasture Rd Ste 201, Riverton, UT 84096 Phone: 385-202-6113 Fax: 382-271-0305 | |
Tiffany Nichole Blake, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12569 S 2700 W, Riverton, UT 84065 Phone: 801-209-9797 Fax: 801-206-3506 | |
Kayla Ellingson, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12569 S 2700 W, Riverton, UT 84065 Phone: 801-209-9797 Fax: 801-206-3506 | |
Charlotte Ann Smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12569 S 2700 W, Riverton, UT 84065 Phone: 801-209-9797 Fax: 801-206-3506 |