| Counseling Made Simple PLLC | |
|
665 N 1890 W Ste 47a Provo UT 84601-1326 | |
| (385) 626-9345 | |
| Not Available |
| Full Name | Counseling Made Simple PLLC |
|---|---|
| Speciality | Social Worker |
| Location | 665 N 1890 W Ste 47a, Provo, Utah |
| Authorized Official Name and Position | Linda Marie Taylor (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3856269345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Made Simple PLLC 665 N 1890 W Ste 47a Provo UT 84601-1326 Ph: (385) 626-9345 | Counseling Made Simple PLLC 665 N 1890 W Ste 47a Provo UT 84601-1326 Ph: (385) 626-9345 |
| NPI Number | 1093255226 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Medicare PECOS PAC ID | 0042581647 |
|---|---|
| Medicare Enrollment ID | O20170731003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093255226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 320724-3501 (Utah) | Primary |
| Provider Name | Linda Marie Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508118456 PECOS PAC ID: 8123397791 Enrollment ID: I20170804003339 |
| Provider Name | Carly Echols Skougard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063287365 PECOS PAC ID: 3779023080 Enrollment ID: I20240912001848 |
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