Dr Tim S Mitchell, PHD | |
90 E 200 N, Logan, UT 84321-4034 | |
(435) 752-0750 | |
Not Available |
Full Name | Dr Tim S Mitchell |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 90 E 200 N, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275629982 | NPI | - | NPPES |
70573 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 93-117240-3902 (Utah) | Primary |
106H00000X | Marriage & Family Therapist | LMFT3111 (Idaho) | Secondary |
Entity Name | Bear River Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285736553 PECOS PAC ID: 0840102356 Enrollment ID: O20031103000725 |
Mailing Address | Practice Location Address |
---|---|
Dr Tim S Mitchell, PHD 146 N 200 W, Hyde Park, UT 84318-3122 Ph: (435) 563-0526 | Dr Tim S Mitchell, PHD 90 E 200 N, Logan, UT 84321-4034 Ph: (435) 752-0750 |
Tricia Hill Danielson, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 270 N Main St, Logan, UT 84321 Phone: 208-339-2847 Fax: 435-752-1095 | |
Dr. Carly D. L. Lebaron, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 95 Golf Course Rd Ste 105, Logan, UT 84321 Phone: 435-915-6398 | |
Charles K Hinds, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 95 West 100 South, Ste 130, Logan, UT 84321 Phone: 435-752-4646 Fax: 435-755-0579 | |
Daniel Richard Miggin, M.S., L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 90 E 200 N, Logan, UT 84321 Phone: 435-752-0750 Fax: 435-752-7433 | |
Sarah Anne Blotter, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 273 W 1010 S, Logan, UT 84321 Phone: 801-871-5118 | |
Brian Keith Steiner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 95 W 100 S, Logan, UT 84321 Phone: 435-752-5302 | |
Mrs. Krystal Cox, B.S. M.F.T.I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 493 North 700 East, Logan, UT 84321 Phone: 435-797-7224 |