| Project Connection Utah | |
|
2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 | |
| (801) 633-6933 | |
| Not Available |
| Full Name | Project Connection Utah |
|---|---|
| Speciality | Counselor |
| Location | 2670 S 2000 E Ste 209, Salt Lake City, Utah |
| Authorized Official Name and Position | Lennie Nichols Knowlton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8016336933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Connection Utah 2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 Ph: (801) 633-6933 | Project Connection Utah 2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 Ph: (801) 633-6933 |
| NPI Number | 1104392802 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 1052851847 |
|---|---|
| Medicare Enrollment ID | O20240906003996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104392802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Allen P Conners |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336722271 PECOS PAC ID: 5698205573 Enrollment ID: I20250206003017 |
| Provider Name | Alyse L Tonon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801261805 PECOS PAC ID: 5597295360 Enrollment ID: I20250207003211 |
| Provider Name | Emily E Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588038145 PECOS PAC ID: 2668902487 Enrollment ID: I20250210001333 |
| Provider Name | Kaitlin J Longfellow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659995553 PECOS PAC ID: 0547790362 Enrollment ID: I20250210001493 |
| Provider Name | Emily R Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811239205 PECOS PAC ID: 1951831601 Enrollment ID: I20250210003060 |
| Provider Name | Madison E Ceculski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497246771 PECOS PAC ID: 1557891215 Enrollment ID: I20250210003334 |
| Provider Name | Tara M Pennington |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184080244 PECOS PAC ID: 0345770061 Enrollment ID: I20250211002527 |
| Provider Name | Lennie N Knowlton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629450713 PECOS PAC ID: 4880940428 Enrollment ID: I20250307003379 |
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