| Bear Creek Counseling,llc | |
|
1227 W 9000 S Ste H West Jordan UT 84088-9001 | |
| (385) 274-7119 | |
| (385) 257-8880 |
| Full Name | Bear Creek Counseling,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1227 W 9000 S Ste H, West Jordan, Utah |
| Authorized Official Name and Position | Patricia Cox (OWNER) |
| Authorized Official Contact | 8018343276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Counseling,llc 1227 W 9000 S Ste H West Jordan UT 84088-9001 Ph: (385) 274-7119 | Bear Creek Counseling,llc 1227 W 9000 S Ste H West Jordan UT 84088-9001 Ph: (385) 274-7119 |
| NPI Number | 1528534401 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 7315273034 |
|---|---|
| Medicare Enrollment ID | O20190801001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528534401 | NPI | - | NPPES |
| 14005458 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia B Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356787691 PECOS PAC ID: 4486980109 Enrollment ID: I20240201004522 |
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