| Marcia Andersen, | |
|
811 N Harrisville Rd, Harrisville, UT 84404-3537 | |
| (801) 399-1818 | |
| (801) 782-8412 |
| Full Name | Marcia Andersen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 811 N Harrisville Rd, Harrisville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639450612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8371642-6004 (Utah) | Primary |
| Entity Name | Aloha Behavioral Consultants, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952432635 PECOS PAC ID: 2961501804 Enrollment ID: O20070619000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Andersen, 3455 N 250 W, North Ogden, UT 84414-1593 Ph: (801) 399-1818 | Marcia Andersen, 811 N Harrisville Rd, Harrisville, UT 84404-3537 Ph: (801) 399-1818 |
Cannon Edward Braveheart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 | |
Michael Dickinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 | |
Amber Hellstrand, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 801-393-6232 Fax: 801-393-4081 | |
Taylor Rain Herzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 Fax: 877-393-6232 | |
Alexandra Nitchman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 | |
Kristy Ann Hodson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 | |
Cori Lynn Robison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 N Hwy 89 Ste C, Harrisville, UT 84404 Phone: 877-393-6232 |