| Luz Patricia Mariscal Ortiz, | |
|
1218 W South Jordan Pkwy Ste A2, South Jordan, UT 84095-5946 | |
| (385) 645-8889 | |
| Not Available |
| Full Name | Luz Patricia Mariscal Ortiz |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1218 W South Jordan Pkwy Ste A2, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154009090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 13425678-3904 (Utah) | Primary |
| Entity Name | Gibson Ventures Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336958735 PECOS PAC ID: 6901335918 Enrollment ID: O20250121001384 |
| Mailing Address | Practice Location Address |
|---|---|
| Luz Patricia Mariscal Ortiz, 15047 S Bugle Ridge Dr, Herriman, UT 84096-5722 Ph: (385) 645-8889 | Luz Patricia Mariscal Ortiz, 1218 W South Jordan Pkwy Ste A2, South Jordan, UT 84095-5946 Ph: (385) 645-8889 |
Amanda Clavell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6022 W Whistle Stop Rd, South Jordan, UT 84009 Phone: 916-430-2981 | |
Jill Hodge, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 S Redwood Rd, South Jordan, UT 84095 Phone: 801-484-9911 | |
Mr. Randy Ray Johnson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1226 W South Jordan Pkwy, South Jordan, UT 84095 Phone: 801-302-1155 | |
Dr. Jacob Gibson, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11607 Lampton View Dr, South Jordan, UT 84095 Phone: 801-301-2450 | |
April Lynne' Bennett, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2732 W. Lizzi Cove, South Jordan, UT 84095 Phone: 801-769-6637 | |
Dr. Richard Lawrence Frank, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10532 S Ojibwa Ln, South Jordan, UT 84095 Phone: 801-425-8889 |