| Strengthening Teens, Llc | |
|
165 N 1330 W Ste A1 Orem UT 84057 | |
| (801) 960-3040 | |
| Not Available |
| Full Name | Strengthening Teens, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 165 N 1330 W Ste A1, Orem, Utah |
| Authorized Official Name and Position | Eric Scott Landon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8019603040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strengthening Teens, Llc 165 N 1330 W Ste A1 Orem UT 84057-5116 Ph: (801) 960-3040 | Strengthening Teens, Llc 165 N 1330 W Ste A1 Orem UT 84057 Ph: (801) 960-3040 |
| NPI Number | 1326496654 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 03/25/2025 |
| Certification Date | 03/25/2025 |
| Medicare PECOS PAC ID | 5496180424 |
|---|---|
| Medicare Enrollment ID | O20200121000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326496654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 87657390160 (Utah) | Primary |
| Provider Name | Robert Trevenen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902272198 PECOS PAC ID: 2860724630 Enrollment ID: I20210504000392 |
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