| Connecting Place Counseling Center Pllc | |
|
3375 W Mayflower Way Ste A Lehi UT 84043-3135 | |
| (801) 768-1725 | |
| (888) 891-8164 |
| Full Name | Connecting Place Counseling Center Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3375 W Mayflower Way Ste A, Lehi, Utah |
| Authorized Official Name and Position | Dustin Matthew Bassett (OWNER/CHEIF THERAPIST) |
| Authorized Official Contact | 8017681725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting Place Counseling Center Pllc 2845 Willow Way Lehi UT 84043-5164 Ph: (801) 768-1725 | Connecting Place Counseling Center Pllc 3375 W Mayflower Way Ste A Lehi UT 84043-3135 Ph: (801) 768-1725 |
| NPI Number | 1699955393 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 03/13/2020 |
| Certification Date | 03/13/2020 |
| Medicare PECOS PAC ID | 7214018696 |
|---|---|
| Medicare Enrollment ID | O20080111000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699955393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6774648-0162 (Utah) | Primary |
| Provider Name | Dustin M Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205867439 PECOS PAC ID: 8325128796 Enrollment ID: I20080110000490 |
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