| Counseling Made Simple Pllc | |
|
719 N 1890 W Ste 38b Provo UT 84601-1333 | |
| (385) 626-9345 | |
| (385) 626-9345 |
| Full Name | Counseling Made Simple Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 719 N 1890 W Ste 38b, Provo, Utah |
| Authorized Official Name and Position | Linda Marie Taylor (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3856269345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Made Simple Pllc 719 N 1890 W Suite #38b Provo UT 84601-1333 Ph: (385) 626-9345 | Counseling Made Simple Pllc 719 N 1890 W Ste 38b Provo UT 84601-1333 Ph: (385) 626-9345 |
| NPI Number | 1093255226 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0042581647 |
|---|---|
| Medicare Enrollment ID | O20170731003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093255226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 320724-3501 (Utah) | Primary |
| Provider Name | Linda Marie Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508118456 PECOS PAC ID: 8123397791 Enrollment ID: I20170804003339 |
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