| Clover Springs Counseling Pllc | |
|
1431 N 1200 W Orem UT 84057-2449 | |
| (801) 836-5555 | |
| Not Available |
| Full Name | Clover Springs Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1431 N 1200 W, Orem, Utah |
| Authorized Official Name and Position | Heidi H. Cheney (DIRECT OWNER) |
| Authorized Official Contact | 8018365555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Springs Counseling Pllc 1431 N 1200 W Orem UT 84057-2449 Ph: (801) 836-5555 | Clover Springs Counseling Pllc 1431 N 1200 W Orem UT 84057-2449 Ph: (801) 836-5555 |
| NPI Number | 1255843181 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 8123432838 |
|---|---|
| Medicare Enrollment ID | O20210120002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255843181 | NPI | - | NPPES |
| 7383330-3501 | Other | UT | DOPL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7383330-3501 (Utah) | Primary |
| Provider Name | Heidi H Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821325895 PECOS PAC ID: 9537326996 Enrollment ID: I20120214000074 |
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