Braeden Gates, | |
1525 Lincoln Ave, Ogden, UT 84404-5638 | |
(801) 621-6510 | |
Not Available |
Full Name | Braeden Gates |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1525 Lincoln Ave, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174042352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Feller Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295177038 PECOS PAC ID: 6800030727 Enrollment ID: O20130916000547 |
Mailing Address | Practice Location Address |
---|---|
Braeden Gates, 8 W 200 S, Farmington, UT 84025-2329 Ph: (801) 682-5020 | Braeden Gates, 1525 Lincoln Ave, Ogden, UT 84404-5638 Ph: (801) 621-6510 |
Mrs. Ginger Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700 | |
Dixie Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 698 12th St, Ogden, UT 84404 Phone: 801-621-3466 Fax: 801-621-8811 | |
Melissa B Valdez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3648 | |
Talia Brianna Howling-dunham, C.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3375 Harrison Blvd, Ogden, UT 84403 Phone: 801-621-3901 Fax: 801-621-3991 | |
Elisabeth Constance Saucedo, Counselor Medicare: Medicare Enrolled Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700 | |
Emily E Greenhill, AMFT, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3375 Harrison Blvd, Ogden, UT 84403 Phone: 760-590-6194 | |
Anthony Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700 |