| Ms Teresa Galloway, CM, SSW | |
|
5965 S 900 E, Salt Lake City, UT 84121-1720 | |
| (801) 263-7100 | |
| Not Available |
| Full Name | Ms Teresa Galloway |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 5965 S 900 E, Salt Lake City, 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 |
|---|---|---|---|
| 1285933614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6329256-3503 (Utah) | Primary |
| 171M00000X | Case Manager/care Coordinator | (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of Ohio Inc | 7719325083 | 47 |
| 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 |
|---|---|
| Ms Teresa Galloway, CM, SSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7100 | Ms Teresa Galloway, CM, SSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7100 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |