Becoming Exceptional Llc | |
1140 36th St Ste 270 Ogden UT 84403-2064 | |
(385) 288-1993 | |
Not Available |
Full Name | Becoming Exceptional Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1140 36th St Ste 270, Ogden, Utah |
Authorized Official Name and Position | Andrea Lauritzen (FOUNDER/LCSW) |
Authorized Official Contact | 8019890014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Becoming Exceptional Llc 1140 36th St Ste 270 Ogden UT 84403-2064 Ph: (385) 288-1993 | Becoming Exceptional Llc 1140 36th St Ste 270 Ogden UT 84403-2064 Ph: (385) 288-1993 |
NPI Number | 1912639394 |
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Provider Enumeration Date | 06/25/2022 |
Last Update Date | 05/25/2023 |
Certification Date | 05/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912639394 | NPI | - | NPPES |
1831688621 | Other | UT | LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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