Beacon Therapy Of Utah | |
5677 S Redwood Rd Unit 18 Taylorsville UT 84123-5454 | |
(385) 526-5996 | |
Not Available |
Full Name | Beacon Therapy Of Utah |
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Speciality | Social Worker |
Location | 5677 S Redwood Rd Unit 18, Taylorsville, Utah |
Authorized Official Name and Position | Bryan Adam Teuscher (OWNER) |
Authorized Official Contact | 8017421011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beacon Therapy Of Utah 5677 S Redwood Rd Unit 18 Taylorsville UT 84123-5454 Ph: (385) 526-5996 | Beacon Therapy Of Utah 5677 S Redwood Rd Unit 18 Taylorsville UT 84123-5454 Ph: (385) 526-5996 |
NPI Number | 1265149637 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 03/18/2025 |
Certification Date | 03/18/2025 |
Medicare PECOS PAC ID | 3577917178 |
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Medicare Enrollment ID | O20231002000673 |
Identifier | Type | State | Issuer |
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1265149637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Erica M Knight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245573559 PECOS PAC ID: 6305125576 Enrollment ID: I20161110000675 |
Provider Name | Bryan Teuscher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033586938 PECOS PAC ID: 6204280803 Enrollment ID: I20231002000706 |
Provider Name | Phoebe Tsz Yan Kung |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568183853 PECOS PAC ID: 6305291865 Enrollment ID: I20231018002808 |
Provider Name | Patricia J Nelson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851894968 PECOS PAC ID: 4789113671 Enrollment ID: I20250122001097 |
Provider Name | Chris Roach |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780106641 PECOS PAC ID: 1951830744 Enrollment ID: I20250123001565 |
Provider Name | Pamela K Hill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669255378 PECOS PAC ID: 7113456518 Enrollment ID: I20250130001491 |
Provider Name | Natasha Fjeldsted |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447958343 PECOS PAC ID: 5092244210 Enrollment ID: I20250131002696 |
Provider Name | Emily A Long |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730902925 PECOS PAC ID: 8527598630 Enrollment ID: I20250204004008 |
Provider Name | Katherine Sun Ae Mason |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649886920 PECOS PAC ID: 6608306659 Enrollment ID: I20250206001526 |
Provider Name | Lindsie Anderton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245470079 PECOS PAC ID: 0042731390 Enrollment ID: I20250304000906 |
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