Ms Lea Ann Gibson, SSW | |
944 North Main, Nephi, UT 84648-1004 | |
(435) 623-1456 | |
(435) 623-1127 |
Full Name | Ms Lea Ann Gibson |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 944 North Main, Nephi, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205126653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 70050273503 (Utah) | Primary |
Entity Name | Central Utah Counseling Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639185424 PECOS PAC ID: 6305743618 Enrollment ID: O20031215000998 |
Mailing Address | Practice Location Address |
---|---|
Ms Lea Ann Gibson, SSW Po Box 329, Fountain Green, UT 84632-0329 Ph: (435) 623-1456 | Ms Lea Ann Gibson, SSW 944 North Main, Nephi, UT 84648-1004 Ph: (435) 623-1456 |
Earl Merrill Shaw, LSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 656 N Main St, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127 | |
Sherry Jean Christensen, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 656 N Main St, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127 | |
Denielle Renee Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 944 N Main, Nephi, UT 84648 Phone: 435-283-4000 Fax: 435-283-8401 | |
Mindy Jolene Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 944 N Main St, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127 | |
Celeste Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 944 North Main Street, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127 | |
Stephanie Kei Staheli, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 944 North Main, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127 |