Loren D Mitchell, LPC | |
4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 | |
(801) 310-7871 | |
Not Available |
Full Name | Loren D Mitchell |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4699 Silver Mountain Rd, 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 |
---|---|---|---|
1932342516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6383939-6004 (Utah) | Primary |
Entity Name | Sundance Behavioral Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326157355 PECOS PAC ID: 5496979239 Enrollment ID: O20140617001287 |
Mailing Address | Practice Location Address |
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Loren D Mitchell, LPC 4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 Ph: (801) 310-7871 | Loren D Mitchell, LPC 4699 Silver Mountain Rd, Eagle Mountain, UT 84005-5897 Ph: (801) 310-7871 |
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 | |
Benjamin L. Reaves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3688 Campus Dr Ste 240, Eagle Mountain, UT 84005 Phone: 801-420-8060 |