| Trails To Wellness Counseling Center, Inc. | |
|
5411 S Vine St Unit 6 Murray UT 84107-7746 | |
| (435) 669-3811 | |
| Not Available |
| Full Name | Trails To Wellness Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5411 S Vine St Unit 6, Murray, Utah |
| Authorized Official Name and Position | Adrianne Annette Durrant (OWNER) |
| Authorized Official Contact | 4356693811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trails To Wellness Counseling Center, Inc. 296 W 400 N American Fork UT 84003-1567 Ph: (435) 669-3811 | Trails To Wellness Counseling Center, Inc. 5411 S Vine St Unit 6 Murray UT 84107-7746 Ph: (435) 669-3811 |
| NPI Number | 1073203204 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 3274983879 |
|---|---|
| Medicare Enrollment ID | O20231222000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073203204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adrianne Annette Durrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114508470 PECOS PAC ID: 4183074784 Enrollment ID: I20240110003927 |
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