| Advanced Awareness Counseling, Llc. | |
|
4125 N Canyon Rd Provo UT 84604-5015 | |
| (408) 420-5730 | |
| Not Available |
| Full Name | Advanced Awareness Counseling, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4125 N Canyon Rd, Provo, Utah |
| Authorized Official Name and Position | Elizabeth V Macias (OWNER) |
| Authorized Official Contact | 4084205730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Awareness Counseling, Llc. 4141 S Highland Dr Suite 208 Salt Lake City UT 84124-2642 Ph: (408) 420-5730 | Advanced Awareness Counseling, Llc. 4125 N Canyon Rd Provo UT 84604-5015 Ph: (408) 420-5730 |
| NPI Number | 1184009508 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184009508 | NPI | - | NPPES |
| 1568720472 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8173984-6009 (Utah) | Primary |
| 251S00000X | Community/behavioral Health | 8173984-6009 (Utah) | Secondary |
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