| Counseling Centers Of Utah Pllc | |
|
9192 S 300 W Ste 19 Sandy UT 84070-2673 | |
| (801) 558-7054 | |
| (801) 523-9239 |
| Full Name | Counseling Centers Of Utah Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9192 S 300 W Ste 19, Sandy, Utah |
| Authorized Official Name and Position | Perriann Parks Beyers (OWNER) |
| Authorized Official Contact | 8015587054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Centers Of Utah Pllc 456 E Brewster Dr Draper UT 84020-5151 Ph: (801) 558-7054 | Counseling Centers Of Utah Pllc 9192 S 300 W Ste 19 Sandy UT 84070-2673 Ph: (801) 558-7054 |
| NPI Number | 1699018622 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Medicare PECOS PAC ID | 4587997820 |
|---|---|
| Medicare Enrollment ID | O20200527001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699018622 | NPI | - | NPPES |
| 1041C0700X | Other | UT | CLINICAL SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 74078 (Utah) | Primary |
| Provider Name | Perriann Beyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629005665 PECOS PAC ID: 7810987302 Enrollment ID: I20040517000336 |
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