| Life Choices Counseling & Coaching, Pllc | |
|
5691 S Redwood Rd Unit 16 Taylorsville UT 84123-5485 | |
| (801) 755-2122 | |
| Not Available |
| Full Name | Life Choices Counseling & Coaching, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5691 S Redwood Rd Unit 16, Taylorsville, Utah |
| Authorized Official Name and Position | Broooke Ann Simmons (DIRECTOR/OWNER) |
| Authorized Official Contact | 8017552122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Choices Counseling & Coaching, Pllc 5691 S Redwood Rd Unit 16 Taylorsville UT 84123-5485 Ph: (801) 755-2122 | Life Choices Counseling & Coaching, Pllc 5691 S Redwood Rd Unit 16 Taylorsville UT 84123-5485 Ph: (801) 755-2122 |
| NPI Number | 1427820307 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 6204288764 |
|---|---|
| Medicare Enrollment ID | O20240119002800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427820307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brooke Ann Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588606925 PECOS PAC ID: 7911235957 Enrollment ID: I20190828003096 |
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