Benjamin L Reaves, | |
3688 Campus Dr Ste 240, Eagle Mountain, UT 84005-4669 | |
(801) 420-8060 | |
Not Available |
Full Name | Benjamin L Reaves |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3688 Campus Dr Ste 240, Eagle Mountain, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609216241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 8605977-6009 (Utah) | Primary |
Entity Name | Ascendant Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085 |
Mailing Address | Practice Location Address |
---|---|
Benjamin L Reaves, 7553 Lexi Loop, Eagle Mountain, UT 84005-6115 Ph: (801) 420-8060 | Benjamin L Reaves, 3688 Campus Dr Ste 240, Eagle Mountain, UT 84005-4669 Ph: (801) 420-8060 |
Kristen Wright Christensen, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18406 W White Quest Dr, Eagle Mountain, UT 84013 Phone: 801-335-4699 Fax: 801-335-7031 | |
Ryan Landes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005 Phone: 801-789-7780 | |
Daniel Richard Walker, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Russell Rd, Eagle Mountain, UT 84005 Phone: 801-471-5964 | |
Mr. Ray Leon Orbin, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1866 E. Parkview Ln, Eagle Mountain, UT 84005 Phone: 801-709-9706 | |
Roman Laws, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8176 N Oconnell Ln, Eagle Mountain, UT 84005 Phone: 385-351-5473 | |
Deon Curdy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005 Phone: 801-789-7780 |