| Collaborative Counseling | |
|
2023 W Ranch Rd Farmington UT 84025-5029 | |
| (801) 997-9098 | |
| (801) 997-8369 |
| Full Name | Collaborative Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2023 W Ranch Rd, Farmington, Utah |
| Authorized Official Name and Position | Michelle Inauen (OWNER/COUNSELOR) |
| Authorized Official Contact | 8019979098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling 2023 W Ranch Rd Farmington UT 84025-5029 Ph: (801) 997-9098 | Collaborative Counseling 2023 W Ranch Rd Farmington UT 84025-5029 Ph: (801) 997-9098 |
| NPI Number | 1649994104 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 5799229068 |
|---|---|
| Medicare Enrollment ID | O20240627001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649994104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Michelle Inauen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407397649 PECOS PAC ID: 4688006232 Enrollment ID: I20240627001161 |
| Provider Name | Brielle Nicole Luke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902410517 PECOS PAC ID: 2860936143 Enrollment ID: I20240627001472 |
| Provider Name | Norma Farris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073084356 PECOS PAC ID: 3577000942 Enrollment ID: I20240802001230 |
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