| Expansive Horizons Counseling & Psychological Services, Llc | |
|
228 West 200 South Suite 2e Kamas UT 84036 | |
| (801) 360-6955 | |
| Not Available |
| Full Name | Expansive Horizons Counseling & Psychological Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 228 West 200 South, Kamas, Utah |
| Authorized Official Name and Position | Liza Sanderson (PRESIDENT) |
| Authorized Official Contact | 8013606955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expansive Horizons Counseling & Psychological Services, Llc 596 Ash Court Kamas UT 84036 Ph: () - | Expansive Horizons Counseling & Psychological Services, Llc 228 West 200 South Suite 2e Kamas UT 84036 Ph: (801) 360-6955 |
| NPI Number | 1922550136 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922550136 | NPI | - | NPPES |
| 1447584511 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8493271-6004 (Utah) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8493271-6004 (Utah) | Primary |