| Gilead Therapy Professional Limited Liability Company | |
|
560 S State St Ste E1 Orem UT 84058-6347 | |
| (801) 376-0566 | |
| Not Available |
| Full Name | Gilead Therapy Professional Limited Liability Company |
|---|---|
| Speciality | Social Worker |
| Location | 560 S State St Ste E1, Orem, Utah |
| Authorized Official Name and Position | Brooke Bradford (OWNER, LCSW) |
| Authorized Official Contact | 8013760566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Therapy Professional Limited Liability Company 1898 W 830 N Provo UT 84604-5946 Ph: () - | Gilead Therapy Professional Limited Liability Company 560 S State St Ste E1 Orem UT 84058-6347 Ph: (801) 376-0566 |
| NPI Number | 1265180848 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Medicare PECOS PAC ID | 1759777394 |
|---|---|
| Medicare Enrollment ID | O20220406002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265180848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447609284 PECOS PAC ID: 2668868209 Enrollment ID: I20220406002603 |
Xenia Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 W 1400 N, Orem, UT 84057 Phone: 801-438-4045 | |
Good Friends Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 E 820 N, Orem, UT 84097 Phone: 801-377-6685 | |
Utah Integrative Psychiatry & Addiction Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 S 1680 W, Orem, UT 84058 Phone: 801-921-0031 | |
Pathways Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1433 E 840 N, Orem, UT 84097 Phone: 801-513-0880 | |
Resource Initiative For Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1141 N 1125 W, Orem, UT 84057 Phone: 801-921-1766 | |
Bear Creek Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 E 820 N, Orem, UT 84097 Phone: 385-399-0888 Fax: 385-375-6087 | |
Heart Of Peace Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 W Center St, Orem, UT 84057 Phone: 801-516-1198 |