| Jennifer Alyce Moorhead, LCSW | |
|
5691 S Redwood Rd Unit 15, Taylorsville, UT 84123-5485 | |
| (801) 281-4084 | |
| Not Available |
| Full Name | Jennifer Alyce Moorhead |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5691 S Redwood Rd Unit 15, Taylorsville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083923684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6024071-6004 (Utah) | Primary |
| Entity Name | Willamette Community Health Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255379566 PECOS PAC ID: 5496667578 Enrollment ID: O20031105000745 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Alyce Moorhead, LCSW 5691 S Redwood Rd Unit 15, Taylorsville, UT 84123-5485 Ph: (801) 281-4084 | Jennifer Alyce Moorhead, LCSW 5691 S Redwood Rd Unit 15, Taylorsville, UT 84123-5485 Ph: (801) 281-4084 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |