Bringing Peace Counseling Pllc | |
5974 Fashion Point Dr Ste 240 South Ogden UT 84403-4810 | |
(801) 628-1762 | |
Not Available |
Full Name | Bringing Peace Counseling Pllc |
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Speciality | Clinic/Center |
Location | 5974 Fashion Point Dr Ste 240, South Ogden, Utah |
Authorized Official Name and Position | Denice L Pacheco (OWNER/PRESIDENT) |
Authorized Official Contact | 8016281762 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bringing Peace Counseling Pllc 5748 S 2200 W Roy UT 84067-1502 Ph: (801) 628-1762 | Bringing Peace Counseling Pllc 5974 Fashion Point Dr Ste 240 South Ogden UT 84403-4810 Ph: (801) 628-1762 |
NPI Number | 1679215347 |
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Provider Enumeration Date | 04/12/2022 |
Last Update Date | 06/03/2022 |
Certification Date | 06/03/2022 |
Medicare PECOS PAC ID | 1557749413 |
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Medicare Enrollment ID | O20220606000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679215347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Denice Lorraine Pacheco |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518102169 PECOS PAC ID: 2466830328 Enrollment ID: I20220607000052 |
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