| Arbor Counseling Utah Llc | |
|
5667 S Redwood Rd Unit 6 Taylorsville UT 84123-5433 | |
| (385) 425-3196 | |
| Not Available |
| Full Name | Arbor Counseling Utah Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5667 S Redwood Rd Unit 6, Taylorsville, Utah |
| Authorized Official Name and Position | Maria C. Richmond (OWNER) |
| Authorized Official Contact | 8018642480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbor Counseling Utah Llc 5667 S Redwood Rd # 6 Taylorsville UT 84123-5433 Ph: (801) 864-2480 | Arbor Counseling Utah Llc 5667 S Redwood Rd Unit 6 Taylorsville UT 84123-5433 Ph: (385) 425-3196 |
| NPI Number | 1902274731 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 0244656767 |
|---|---|
| Medicare Enrollment ID | O20200814001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902274731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria C Richmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104157262 PECOS PAC ID: 0143646679 Enrollment ID: I20200814001095 |
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