| Meaningful Life Counseling | |
|
2832 W 4700 S Suite B Taylorsville UT 84129-2155 | |
| (801) 550-5428 | |
| (801) 964-6003 |
| Full Name | Meaningful Life Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2832 W 4700 S, Taylorsville, Utah |
| Authorized Official Name and Position | Tammy Ishimatsu (OWNER/AGENT) |
| Authorized Official Contact | 8015505428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningful Life Counseling Po Box 702184 Salt Lake City UT 84170-2184 Ph: (801) 550-5428 | Meaningful Life Counseling 2832 W 4700 S Suite B Taylorsville UT 84129-2155 Ph: (801) 550-5428 |
| NPI Number | 1427448851 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 02/25/2015 |
| Medicare PECOS PAC ID | 3870915655 |
|---|---|
| Medicare Enrollment ID | O20200624001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427448851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3359243501 (Utah) | Primary |
| Provider Name | Tammi Ishimatsu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730150210 PECOS PAC ID: 3274837539 Enrollment ID: I20160205001614 |
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