| 9-line Counseling, Pllc | |
|
2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 | |
| (801) 380-3581 | |
| Not Available |
| Full Name | 9-line Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2940 W Maple Loop Dr Ste 303d, Lehi, Utah |
| Authorized Official Name and Position | William Russell (OWNER) |
| Authorized Official Contact | 8013803581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 9-line Counseling, Pllc 2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 Ph: (801) 380-3581 | 9-line Counseling, Pllc 2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 Ph: (801) 380-3581 |
| NPI Number | 1144918012 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 2860851946 |
|---|---|
| Medicare Enrollment ID | O20230707001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144918012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | William Andrew Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871079335 PECOS PAC ID: 4587041587 Enrollment ID: I20220512002186 |
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