| Amy Black, | |
|
2360 N 1450 E, Moroni, UT 84646-0461 | |
| (435) 445-5520 | |
| Not Available |
| Full Name | Amy Black |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2360 N 1450 E, Moroni, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811354293 | NPI | - | NPPES |
| 272503815 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Black, 21360 North 1450 East, Moroni, UT 84646-0461 Ph: (435) 445-5200 | Amy Black, 2360 N 1450 E, Moroni, UT 84646-0461 Ph: (435) 445-5520 |
Zackary Allred, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N. 1450 E., Moroni, UT 84646 Phone: 435-445-5206 | |
Calvin Baird, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-851-6821 | |
Greg Morley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-851-6821 | |
Nathan Miner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2860 E 19500 N, Moroni, UT 84646 Phone: 435-436-9029 Fax: 435-445-5201 | |
Mark Puett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21360 North 1450 East, Moroni, UT 84646 Phone: 435-445-5200 Fax: 435-445-5201 | |
Colton Lamont Blackham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-445-5200 Fax: 435-445-5201 | |
Merrill Eldon Barnes, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N. 1450 E., Moroni, UT 84646 Phone: 435-851-6821 |