Carlos Emery Gomez, LCSW | |
294 E Tabernacle St Ste 100, St George, UT 84770-2936 | |
(801) 995-1788 | |
Not Available |
Full Name | Carlos Emery Gomez |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 294 E Tabernacle St Ste 100, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528331451 | NPI | - | NPPES |
1528331451 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 9681278-3501 (Utah) | Primary |
Entity Name | Trauma Treatment & Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881353290 PECOS PAC ID: 3476900796 Enrollment ID: O20231108001955 |
Mailing Address | Practice Location Address |
---|---|
Carlos Emery Gomez, LCSW 294 E Tabernacle St Ste 100, St George, UT 84770-2936 Ph: (801) 995-1788 | Carlos Emery Gomez, LCSW 294 E Tabernacle St Ste 100, St George, UT 84770-2936 Ph: (801) 995-1788 |
Lukas Hildebrandt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St Ste 7, St George, UT 84770 Phone: 801-255-5131 | |
Jan Hadlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 S Silicon Way Ste A, St George, UT 84770 Phone: 435-275-8911 | |
Andrew J Weibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Bluff St Ste 5, St George, UT 84770 Phone: 435-229-9177 | |
Jason Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 E 600 S, St George, UT 84770 Phone: 435-705-7574 | |
Sarah Cowley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N, Suite 300, St George, UT 84770 Phone: 435-634-5621 Fax: 435-986-8700 | |
Kiley Shelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, St George, UT 84770 Phone: 801-255-5131 Fax: 801-255-5131 | |
Samantha Montag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 S Silicon Way Ste A, St George, UT 84770 Phone: 435-275-8911 |