| Lisa Antoinette Temple, LMFT | |
|
172 E 14075 S Ste 110, Draper, UT 84020-5725 | |
| (888) 588-8995 | |
| Not Available |
| Full Name | Lisa Antoinette Temple |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 172 E 14075 S Ste 110, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861921462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 6543517-3902 (Utah) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Antoinette Temple, LMFT 16063 S Truss Dr, Bluffdale, UT 84065-1867 Ph: (801) 979-9404 | Lisa Antoinette Temple, LMFT 172 E 14075 S Ste 110, Draper, UT 84020-5725 Ph: (888) 588-8995 |
Hannah Farnworth, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12397 S 300 E Ste 100, Draper, UT 84020 Phone: 801-349-9606 | |
Tiffany Henline, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13552 S 110 W Ste 204, Draper, UT 84020 Phone: 801-432-0883 | |
Madelyn Margaret Childs, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12401 S 450 E Unit D2a, Draper, UT 84020 Phone: 801-277-6851 | |
Dr. Bernell Lee Christensen, PH.D Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 584 E 12300 S Ste 1, Draper, UT 84020 Phone: 801-748-2192 | |
Malory Christensen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1111 E Draper Pkwy Ste 103, Draper, UT 84020 Phone: 801-835-7788 | |
Cristina Leslie, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13552 S 110 W Ste 204, Draper, UT 84020 Phone: 801-432-0883 | |
Emily Anne Sellers, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12401 S 450 E Unit D2a, Draper, UT 84020 Phone: 801-277-6851 |