Ms Teresa Galloway, CM, SSW | |
5965 S 900 E, Salt Lake City, UT 84121-1720 | |
(801) 263-7100 | |
Not Available |
Full Name | Ms Teresa Galloway |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 5965 S 900 E, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285933614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6329256-3503 (Utah) | Primary |
171M00000X | Case Manager/care Coordinator | (Utah) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sundance Behavioral Resources Llc | 5496979239 | 9 |
Entity Name | Sundance Behavioral Resources Llc |
---|---|
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 |
---|---|
Ms Teresa Galloway, CM, SSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7100 | Ms Teresa Galloway, CM, SSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7100 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |