| Loren D Mitchell, LPC | |
|
4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 | |
| (801) 310-7871 | |
| Not Available |
| Full Name | Loren D Mitchell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4699 Silver Mountain Rd, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932342516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6383939-6004 (Utah) | Primary |
| Entity Name | Sundance Behavioral Resources Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326157355 PECOS PAC ID: 5496979239 Enrollment ID: O20140617001287 |
| Entity Name | Optum Behavioral Care Of Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942076633 PECOS PAC ID: 7719325083 Enrollment ID: O20240723004739 |
| Mailing Address | Practice Location Address |
|---|---|
| Loren D Mitchell, LPC 4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 Ph: (801) 310-7871 | Loren D Mitchell, LPC 4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 Ph: (801) 310-7871 |
Lucinda Watkins, CMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3688 E Campus Dr Ste 240, Eagle Mountain, UT 84005 Phone: 928-853-3771 | |
Madison Erin Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18406 W White Quest Dr, Eagle Mountain, UT 84013 Phone: 801-335-4669 | |
Katie Shelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3688 E Campus Dr Ste 130, Eagle Mountain, UT 84005 Phone: 801-373-4760 | |
Ryan Landes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005 Phone: 801-789-7780 | |
Daniel Richard Walker, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Russell Rd, Eagle Mountain, UT 84005 Phone: 801-471-5964 | |
Mr. Ray Leon Orbin, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1866 E. Parkview Ln, Eagle Mountain, UT 84005 Phone: 801-709-9706 | |
Roman Laws, Counselor Medicare: Not Enrolled in Medicare Practice Location: 537 N Grand Tour Dr, Eagle Mountain, UT 84045 Phone: 385-351-5473 |