| Therapy Associates, Pc | |
|
377 E Riverside Dr Ste B St George UT 84790-4749 | |
| (435) 862-8273 | |
| (435) 275-4256 |
| Full Name | Therapy Associates, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 377 E Riverside Dr Ste B, St George, Utah |
| Authorized Official Name and Position | Matthew V Bulkley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4358628273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Associates, Pc 377 E Riverside Dr Ste B St George UT 84790-4749 Ph: (435) 862-8273 | Therapy Associates, Pc 377 E Riverside Dr Ste B St George UT 84790-4749 Ph: (435) 862-8273 |
| NPI Number | 1578703468 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 3173882065 |
|---|---|
| Medicare Enrollment ID | O20180123001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578703468 | NPI | - | NPPES |
| Provider Name | Lorneta H Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265749154 PECOS PAC ID: 9739420464 Enrollment ID: I20190408000741 |
| Provider Name | Allyson Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386160034 PECOS PAC ID: 4880936202 Enrollment ID: I20190503000637 |
| Provider Name | Kena Frey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821237686 PECOS PAC ID: 0042557258 Enrollment ID: I20190625001899 |
| Provider Name | Matt Bulkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659510956 PECOS PAC ID: 8224375431 Enrollment ID: I20190627002390 |
| Provider Name | Michael A Beacco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740839406 PECOS PAC ID: 1557744570 Enrollment ID: I20220823003510 |
| Provider Name | Dakota J Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336785831 PECOS PAC ID: 3577946599 Enrollment ID: I20220823003894 |
| Provider Name | Mckenzie Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053959601 PECOS PAC ID: 4183083041 Enrollment ID: I20230710003511 |
| Provider Name | Adam Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639629843 PECOS PAC ID: 9931563830 Enrollment ID: I20230911003635 |
| Provider Name | Elizabeth Goble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114232998 PECOS PAC ID: 3678916558 Enrollment ID: I20240207003209 |
| Provider Name | Lea Frances-poll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922551092 PECOS PAC ID: 6507209426 Enrollment ID: I20240208000005 |
| Provider Name | Lee Wulfenstein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184230419 PECOS PAC ID: 1850735234 Enrollment ID: I20240214001776 |
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