| Confederated Tribes Of The Goshute Reservation | |
|
660 S 200 E Suite 250 Salt Lake City UT 84111-3835 | |
| (801) 359-2256 | |
| (801) 364-7392 |
| Full Name | Confederated Tribes Of The Goshute Reservation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 660 S 200 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Crystal Contreras (BILLING) |
| Authorized Official Contact | 8013592256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes Of The Goshute Reservation Hc 61 Box 6104 Ibapah UT 84034-6003 Ph: (435) 234-1138 | Confederated Tribes Of The Goshute Reservation 660 S 200 E Suite 250 Salt Lake City UT 84111-3835 Ph: (801) 359-2256 |
| NPI Number | 1194189233 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194189233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 9453799-8906 (Utah) | Primary |
Shrinkster, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E 4500 S Ste 302, Salt Lake City, UT 84107 Phone: 801-685-9600 Fax: 801-268-3777 | |
Burton Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1433 S 1100 E, Salt Lake City, UT 84105 Phone: 801-581-0422 | |
Sacred Circle Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 Fax: 801-364-4392 | |
Palliative Medicine Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 E 3900 S, Suite B, Salt Lake City, UT 84107 Phone: 801-747-0330 | |
Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 S Main St Ste B, Salt Lake City, UT 84115 Phone: 801-803-8105 | |
Blossom Aba Therapy Ut Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121 Phone: 732-730-7505 | |
Michael S Buxton Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E Ste 11, Salt Lake City, UT 84105 Phone: 801-318-1900 |