| Delta Healing Solutions | |
|
95 White Sage Ave Delta UT 84624-5555 | |
| (435) 864-5151 | |
| Not Available |
| Full Name | Delta Healing Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 95 White Sage Ave, Delta, Utah |
| Authorized Official Name and Position | Elend Lebaron (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4358645151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Healing Solutions 95 White Sage Ave Delta UT 84624-5555 Ph: (435) 864-5151 | Delta Healing Solutions 95 White Sage Ave Delta UT 84624-5555 Ph: (435) 864-5151 |
| NPI Number | 1831960962 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 0345684742 |
|---|---|
| Medicare Enrollment ID | O20240213003927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831960962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Thomas Allen Rayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194008979 PECOS PAC ID: 0941533574 Enrollment ID: I20220808003003 |
| Provider Name | Alex J Mageno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538727284 PECOS PAC ID: 9032586722 Enrollment ID: I20230629003702 |
| Provider Name | Megan E Keetch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427771955 PECOS PAC ID: 8325482912 Enrollment ID: I20240222001963 |
| Provider Name | Riddhi Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265213169 PECOS PAC ID: 8224472766 Enrollment ID: I20240222004158 |
| Provider Name | Daryl Keith Essey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720305204 PECOS PAC ID: 9133692916 Enrollment ID: I20260623004109 |
White River Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 W 100 S, Delta, UT 84624 Phone: 435-659-2368 Fax: 435-213-2810 |
Topaz Counseling PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Topaz Blvd Ste 203d, Delta, UT 84624 Phone: 435-652-2114 Fax: 435-652-2132 |