| On Track Counseling Llc | |
|
1893 E Skyline Dr Ste 102 Ogden UT 84403-5382 | |
| (801) 686-9334 | |
| (801) 326-0225 |
| Full Name | On Track Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1893 E Skyline Dr Ste 102, Ogden, Utah |
| Authorized Official Name and Position | Aaron F Gardner (THERAPIST/OWNER) |
| Authorized Official Contact | 8016869334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Track Counseling Llc 2800 S 1200 W Perry UT 84302-4226 Ph: (801) 686-9334 | On Track Counseling Llc 1893 E Skyline Dr Ste 102 Ogden UT 84403-5382 Ph: (801) 686-9334 |
| NPI Number | 1962266148 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 7113363045 |
|---|---|
| Medicare Enrollment ID | O20240313002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962266148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aaron Fay Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952666232 PECOS PAC ID: 8022454958 Enrollment ID: I20240313002895 |
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