| Trevor James Irish, | |
|
134 W Main St, Vernal, UT 84078-2504 | |
| (801) 375-4240 | |
| (801) 375-4241 |
| Full Name | Trevor James Irish |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 134 W Main St, Vernal, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720335078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Access Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487700589 PECOS PAC ID: 5991860413 Enrollment ID: O20090217000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor James Irish, 619 N 500 W, Provo, UT 84601-1547 Ph: (801) 375-4240 | Trevor James Irish, 134 W Main St, Vernal, UT 84078-2504 Ph: (801) 375-4240 |
Michelle Dawn Smith, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 W Main St, Vernal, UT 84078 Phone: 435-790-5628 | |
Lilyan Harrison Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 W 500 S, Vernal, UT 84078 Phone: 435-789-6300 Fax: 435-789-6325 | |
Frances Barnett Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 W 500 S, Vernal, UT 84078 Phone: 435-789-6300 Fax: 435-789-6325 | |
Karen Bell Ames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 W 500 S, Vernal, UT 84078 Phone: 435-789-6300 Fax: 435-789-6357 | |
Gayla Schmidt Perkins, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305 Fax: 307-782-3122 | |
Andrea Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 W Main St, Vernal, UT 84078 Phone: 801-375-4240 Fax: 801-375-4241 | |
Kathryn Colver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305 |