| Berta Rodriguez-diaz, | |
|
100 S 1000 W, Tooele, UT 84074-4010 | |
| (888) 949-4864 | |
| Not Available |
| Full Name | Berta Rodriguez-diaz |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 100 S 1000 W, Tooele, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336507433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9550251-6004 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Horizons Counseling And Wellness Center | 4789055138 | 2 |
| Entity Name | Horizons Counseling & Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306556501 PECOS PAC ID: 4789055138 Enrollment ID: O20230120002505 |
| Mailing Address | Practice Location Address |
|---|---|
| Berta Rodriguez-diaz, 3725 W 4100 S Ste 201, West Valley City, UT 84120-6490 Ph: (888) 949-4864 | Berta Rodriguez-diaz, 100 S 1000 W, Tooele, UT 84074-4010 Ph: (888) 949-4864 |
Ms. Michelle Elizabeth Kinder, SSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 | |
Madeleine Sparhawk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 N Main St, Tooele, UT 84074 Phone: 385-200-3107 | |
Ashley Carrubba, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Alfred Dr, Tooele, UT 84074 Phone: 435-277-0842 | |
Miriam Eileen Buell, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 N 50 W, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127 | |
Drew Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 754 N Main St, Tooele, UT 84074 Phone: 435-228-6523 | |
Mrs. Rita Josephine Butler, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 N Main St, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127 | |
Karen Freiley Atkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 W Vine St, Tooele, UT 84074 Phone: 435-882-4354 |