| Ryan Landes, | |
|
3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005-5451 | |
| (801) 789-7780 | |
| Not Available |
| Full Name | Ryan Landes |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 3714 E Campus Dr Ste 101, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215664776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerstone Of Indiana Inc | 9436138427 | 114 |
| Entity Name | Centerstone of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Landes, 3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005-5451 Ph: Not Available | Ryan Landes, 3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005-5451 Ph: (801) 789-7780 |
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 |
Merritt Grace Lebrecht, ACMHC, TRS, CTRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 18406 W White Quest Dr, Eagle Mountain, UT 84013 Phone: 801-335-4699 Fax: 801-335-7031 |
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 |
Emily Elizabeth Harper, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18406 W White Quest Dr, Eagle Mountain, UT 84013 Phone: 801-335-4699 Fax: 801-335-7031 |
Daniel Richard Walker, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Russell Rd, Eagle Mountain, UT 84005 Phone: 801-471-5964 |
Samantha Lyons, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4317 N Pony Express Pkwy Ste 250, Eagle Mountain, UT 84005 Phone: 801-655-5450 |