| Aloha Behavioral Consultants, Inc. | |
|
811 N Harrisville Road Harrisville UT 84404-2580 | |
| (801) 399-1818 | |
| (801) 782-8412 |
| Full Name | Aloha Behavioral Consultants, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 811 N Harrisville Road, Harrisville, Utah |
| Authorized Official Name and Position | M Shawn Palau (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8013991818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Behavioral Consultants, Inc. 811 N Harrisville Rd Harrisville UT 84404-3537 Ph: (801) 399-1818 | Aloha Behavioral Consultants, Inc. 811 N Harrisville Road Harrisville UT 84404-2580 Ph: (801) 399-1818 |
| NPI Number | 1952432635 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 2961501804 |
|---|---|
| Medicare Enrollment ID | O20070619000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952432635 | NPI | - | NPPES |
| 1952432635 | Medicaid | UT |
| Provider Name | M Shawn Palau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609946540 PECOS PAC ID: 6204875024 Enrollment ID: I20050429000826 |
| Provider Name | Lynda Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902965122 PECOS PAC ID: 4688628480 Enrollment ID: I20170220001355 |
| Provider Name | Reena Green-josoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467464370 PECOS PAC ID: 2163453317 Enrollment ID: I20170829003153 |
| Provider Name | Cara Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063890747 PECOS PAC ID: 0244503944 Enrollment ID: I20170831000717 |
| Provider Name | Marcia Andersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639450612 PECOS PAC ID: 4183076060 Enrollment ID: I20240116003021 |