| Clearview Counseling & Assessment Inc | |
|
2416 E Sego Lily Dr Sandy UT 84092-4435 | |
| (801) 201-8571 | |
| Not Available |
| Full Name | Clearview Counseling & Assessment Inc |
|---|---|
| Speciality | Counselor |
| Location | 2416 E Sego Lily Dr, Sandy, Utah |
| Authorized Official Name and Position | Stacy Ann Mckenzie (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 8012018571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearview Counseling & Assessment Inc 2416 E Sego Lily Dr Sandy UT 84092-4435 Ph: () - | Clearview Counseling & Assessment Inc 2416 E Sego Lily Dr Sandy UT 84092-4435 Ph: (801) 201-8571 |
| NPI Number | 1881113314 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 5395109250 |
|---|---|
| Medicare Enrollment ID | O20230911002125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881113314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samuel Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013695741 PECOS PAC ID: 8628432226 Enrollment ID: I20230915000542 |
| Provider Name | Stacy Ann Mckenzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568559110 PECOS PAC ID: 7012371974 Enrollment ID: I20240102001223 |
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