| Harmony Station Counseling Llc | |
|
1553 E Owenwood Cir Sandy UT 84092-5381 | |
| (801) 518-3554 | |
| Not Available |
| Full Name | Harmony Station Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1553 E Owenwood Cir, Sandy, Utah |
| Authorized Official Name and Position | Roberta Polkinghorn (OWNER) |
| Authorized Official Contact | 8015183554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Station Counseling Llc 1553 E Owenwood Cir Sandy UT 84092-5381 Ph: (801) 518-3554 | Harmony Station Counseling Llc 1553 E Owenwood Cir Sandy UT 84092-5381 Ph: (801) 518-3554 |
| NPI Number | 1619715174 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 7517494818 |
|---|---|
| Medicare Enrollment ID | O20241227001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619715174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Roberta Polkinghorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740681964 PECOS PAC ID: 8426585720 Enrollment ID: I20241227001893 |
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