| Trauma Treatment & Counseling Llc | |
|
249 E Tabernacle St Ste 100 St George UT 84770-2951 | |
| (801) 995-1788 | |
| Not Available |
| Full Name | Trauma Treatment & Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 249 E Tabernacle St Ste 100, St George, Utah |
| Authorized Official Name and Position | Carlos Emery Gomez (OWNER) |
| Authorized Official Contact | 8019951788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Treatment & Counseling Llc 249 E Tabernacle St Ste 100 St George UT 84770-2951 Ph: (801) 995-1788 | Trauma Treatment & Counseling Llc 249 E Tabernacle St Ste 100 St George UT 84770-2951 Ph: (801) 995-1788 |
| NPI Number | 1881353290 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 3476900796 |
|---|---|
| Medicare Enrollment ID | O20231108001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881353290 | NPI | - | NPPES |
| 1528331451 | Other | UT | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carlos Emery Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528331451 PECOS PAC ID: 4385091602 Enrollment ID: I20231108002938 |
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