| Ora Counseling | |
|
115 Golf Course Rd Ste A Logan UT 84321-5951 | |
| (801) 885-4431 | |
| Not Available |
| Full Name | Ora Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Golf Course Rd Ste A, Logan, Utah |
| Authorized Official Name and Position | Eliza Cothran (OWNER) |
| Authorized Official Contact | 8018854431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ora Counseling 5888 Sam Fellow Rd Smithfield UT 84335-9687 Ph: (801) 885-4431 | Ora Counseling 115 Golf Course Rd Ste A Logan UT 84321-5951 Ph: (801) 885-4431 |
| NPI Number | 1043810047 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 8426491705 |
|---|---|
| Medicare Enrollment ID | O20240205001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043810047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Todd Parry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912344599 PECOS PAC ID: 7719255645 Enrollment ID: I20211026000885 |
| Provider Name | Dennis Dean Wildman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306567672 PECOS PAC ID: 7315248507 Enrollment ID: I20240209001455 |
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