| Neuro Wellness Utah, Llc | |
|
210 N 1200 E Ste 250 Lehi UT 84043-2299 | |
| (801) 550-6697 | |
| Not Available |
| Full Name | Neuro Wellness Utah, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 210 N 1200 E Ste 250, Lehi, Utah |
| Authorized Official Name and Position | Emily Ross (CEO) |
| Authorized Official Contact | 8015506697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Wellness Utah, Llc 10416 N Cherry Ln Highland UT 84003-9454 Ph: (801) 550-6697 | Neuro Wellness Utah, Llc 210 N 1200 E Ste 250 Lehi UT 84043-2299 Ph: (801) 550-6697 |
| NPI Number | 1952172843 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 6406209790 |
|---|---|
| Medicare Enrollment ID | O20240202002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952172843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emily M Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538696729 PECOS PAC ID: 5496084394 Enrollment ID: I20190830002489 |
| Provider Name | Thomas Allen Rayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194008979 PECOS PAC ID: 0941533574 Enrollment ID: I20220808003003 |
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