A.v.y Counseling Services | |
165 N 1330 W Ste A1 Orem UT 84057 | |
(801) 960-3040 | |
Not Available |
Full Name | A.v.y Counseling Services |
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Speciality | Community/Behavioral Health |
Location | 165 N 1330 W Ste A1, Orem, Utah |
Authorized Official Name and Position | Eric Scott Landon (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8019603040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A.v.y Counseling Services 165 N 1330 W Ste A1 Orem UT 84057-5116 Ph: (801) 960-3040 | A.v.y Counseling Services 165 N 1330 W Ste A1 Orem UT 84057 Ph: (801) 960-3040 |
NPI Number | 1326496654 |
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Provider Enumeration Date | 05/26/2016 |
Last Update Date | 05/26/2016 |
Medicare PECOS PAC ID | 5496180424 |
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Medicare Enrollment ID | O20200121000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326496654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 87657390160 (Utah) | Primary |
Provider Name | Robert Trevenen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902272198 PECOS PAC ID: 2860724630 Enrollment ID: I20210504000392 |
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