| Anson Family Counseling, Llc | |
|
1747 Heritage Ln Ste B101 Syracuse UT 84075-8546 | |
| (385) 439-1926 | |
| Not Available |
| Full Name | Anson Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1747 Heritage Ln Ste B101, Syracuse, Utah |
| Authorized Official Name and Position | Marc Lee Anson (OWNER AND PROGRAM DIRECTOR) |
| Authorized Official Contact | 3854391926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anson Family Counseling, Llc 1747 Heritage Ln Ste B101 Syracuse UT 84075-8546 Ph: (385) 439-1926 | Anson Family Counseling, Llc 1747 Heritage Ln Ste B101 Syracuse UT 84075-8546 Ph: (385) 439-1926 |
| NPI Number | 1518457712 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Medicare PECOS PAC ID | 0749620367 |
|---|---|
| Medicare Enrollment ID | O20240430002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518457712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5780998-3501 (Utah) | Primary |
| Provider Name | Kimberly A Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750955357 PECOS PAC ID: 0749620458 Enrollment ID: I20240429001944 |
| Provider Name | Preston Q Calcut |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104436120 PECOS PAC ID: 5092155705 Enrollment ID: I20240429002038 |
| Provider Name | Marc Anson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144486895 PECOS PAC ID: 5890135412 Enrollment ID: I20240603001950 |
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