|
| |
|
312 S Main St Tooele UT 84074-2746 | |
| (435) 841-9177 | |
| (435) 882-7330 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 312 S Main St, Tooele, Utah |
| Authorized Official Name and Position | Molly G Prince (OWNER, THERAPIST) |
| Authorized Official Contact | 8016804705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
432 Cleveland Ave Salt Lake City UT 84115-1510 Ph: (435) 841-9177 | 312 S Main St Tooele UT 84074-2746 Ph: (435) 841-9177 |
| NPI Number | 1700012192 |
|---|---|
| Provider Enumeration Date | 05/31/2009 |
| Last Update Date | 02/27/2010 |
| Medicare PECOS PAC ID | 9133263767 |
|---|---|
| Medicare Enrollment ID | O20100220000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700012192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3332853501 (Utah) | Primary |
| Provider Name | Molly G Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396700548 PECOS PAC ID: 8022177807 Enrollment ID: I20081107000619 |
Patricia Mcwhorter Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 40 S Main St, Tooele, UT 84074 Phone: 435-843-7060 Fax: 435-843-9548 | |
Healing Heart Center For Meaningful Change Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St Ste 2, Tooele, UT 84074 Phone: 435-849-0598 | |
Mira Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St, Tooele, UT 84074 Phone: 801-448-6523 | |
Desert Sky Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 541 N Coleman St, Tooele, UT 84074 Phone: 801-406-7526 Fax: 801-876-4212 | |