| Davis Behavioral Health Inc | |
|
934 S Main St Layton UT 84041-7135 | |
| (801) 773-7060 | |
| Not Available |
| Full Name | Davis Behavioral Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 934 S Main St, Layton, Utah |
| Authorized Official Name and Position | Jennifer Critchley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8017737060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Behavioral Health Inc 934 S Main St Layton UT 84041-7135 Ph: () - | Davis Behavioral Health Inc 934 S Main St Layton UT 84041-7135 Ph: (801) 773-7060 |
| NPI Number | 1770641672 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Medicare PECOS PAC ID | 7416861919 |
|---|---|
| Medicare Enrollment ID | O20031118000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770641672 | NPI | - | NPPES |
| Provider Name | Susan R Mallory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831205723 PECOS PAC ID: 4981697703 Enrollment ID: I20040407000417 |
| Provider Name | Adam B Capel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790761518 PECOS PAC ID: 0345230785 Enrollment ID: I20040517000733 |
| Provider Name | Michael Scott Roundy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255366696 PECOS PAC ID: 1355329046 Enrollment ID: I20040709000503 |
| Provider Name | David F Mckay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609882521 PECOS PAC ID: 4789658097 Enrollment ID: I20040823001175 |
| Provider Name | Todd A Soutor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376558064 PECOS PAC ID: 9032136619 Enrollment ID: I20051103001215 |
| Provider Name | Heather L Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846781 PECOS PAC ID: 6204858822 Enrollment ID: I20051223000290 |
| Provider Name | Michele Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003822180 PECOS PAC ID: 1254345135 Enrollment ID: I20060131000055 |
| Provider Name | Julana J Schenk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457321556 PECOS PAC ID: 6709884877 Enrollment ID: I20061128000282 |
| Provider Name | Callie A Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114933033 PECOS PAC ID: 0648377127 Enrollment ID: I20070517000256 |
| Provider Name | Carol Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467468421 PECOS PAC ID: 7911041579 Enrollment ID: I20100219000438 |
| Provider Name | Julie K Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679777148 PECOS PAC ID: 4981733144 Enrollment ID: I20100526000424 |
| Provider Name | Cindie Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669623765 PECOS PAC ID: 1850425497 Enrollment ID: I20100817001652 |
| Provider Name | Lara Lyn Deveraux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467740001 PECOS PAC ID: 1254500184 Enrollment ID: I20110811000113 |
| Provider Name | Keelee K Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033341268 PECOS PAC ID: 9739346206 Enrollment ID: I20120210000650 |
| Provider Name | Gary A Goodrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821004821 PECOS PAC ID: 6608035456 Enrollment ID: I20120314000231 |
| Provider Name | Bradley B Trump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124259395 PECOS PAC ID: 9234382383 Enrollment ID: I20130123000532 |
| Provider Name | Henry J Van Den Hazel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568478410 PECOS PAC ID: 5991950651 Enrollment ID: I20130301000319 |
| Provider Name | Spencer A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457631871 PECOS PAC ID: 9638304249 Enrollment ID: I20131106000848 |
| Provider Name | Julie W Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487660460 PECOS PAC ID: 8325263577 Enrollment ID: I20140702001841 |
| Provider Name | Kristen Reisig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437457504 PECOS PAC ID: 8628113586 Enrollment ID: I20140716001532 |
| Provider Name | John Chidester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508028473 PECOS PAC ID: 5991921793 Enrollment ID: I20140731002005 |
| Provider Name | Kimberlee A Mccomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114158391 PECOS PAC ID: 0446470561 Enrollment ID: I20141013000316 |
| Provider Name | Chad Woodruff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962769943 PECOS PAC ID: 4385866474 Enrollment ID: I20141104002870 |
| Provider Name | Jamie Marie Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205992633 PECOS PAC ID: 4688990443 Enrollment ID: I20150313001206 |
| Provider Name | Rachel B Reist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063708089 PECOS PAC ID: 6800109901 Enrollment ID: I20150718000131 |
| Provider Name | Rene Valles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013015189 PECOS PAC ID: 0143534370 Enrollment ID: I20150731017239 |
| Provider Name | Jennifer Shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821285529 PECOS PAC ID: 0941517536 Enrollment ID: I20150915000867 |
| Provider Name | Kenton L Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891186102 PECOS PAC ID: 8325355977 Enrollment ID: I20150915002631 |
| Provider Name | Kirk D Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588097927 PECOS PAC ID: 0345540084 Enrollment ID: I20151201002797 |
| Provider Name | Lydia L Arguelles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720213697 PECOS PAC ID: 7618278441 Enrollment ID: I20151218002137 |
| Provider Name | Frances E Geldmacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073864070 PECOS PAC ID: 8224339072 Enrollment ID: I20151221000622 |
| Provider Name | Heidi Kraus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245582048 PECOS PAC ID: 0244532091 Enrollment ID: I20160111001599 |
| Provider Name | Nancy Moss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679821508 PECOS PAC ID: 1052605789 Enrollment ID: I20160803001924 |
| Provider Name | Genie C Keblis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538506332 PECOS PAC ID: 2163716820 Enrollment ID: I20160803002974 |
| Provider Name | Brett S Bartruff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417376567 PECOS PAC ID: 7416241781 Enrollment ID: I20160809002002 |
| Provider Name | Niki E Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992128102 PECOS PAC ID: 0143514422 Enrollment ID: I20160809002439 |
| Provider Name | Ryann S Albritton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902189897 PECOS PAC ID: 5698060010 Enrollment ID: I20160824002625 |
| Provider Name | Bret Hafen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982060828 PECOS PAC ID: 1557636180 Enrollment ID: I20171009001458 |
| Provider Name | Jacob Thornhill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649608563 PECOS PAC ID: 8325307887 Enrollment ID: I20180109002247 |
| Provider Name | Stephanie Z H Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972923662 PECOS PAC ID: 4183984016 Enrollment ID: I20180214000128 |
| Provider Name | Kennedy Gandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699182907 PECOS PAC ID: 8527310515 Enrollment ID: I20181002001611 |
| Provider Name | Cody Randall Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760753495 PECOS PAC ID: 0648503110 Enrollment ID: I20190615000315 |
| Provider Name | Craig Howard Wilde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972984383 PECOS PAC ID: 6507195484 Enrollment ID: I20190903002332 |
| Provider Name | Tracey W Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154569754 PECOS PAC ID: 2264864412 Enrollment ID: I20191111000049 |
| Provider Name | Joseph Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427511856 PECOS PAC ID: 2668804501 Enrollment ID: I20191115000351 |
| Provider Name | Patricia Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295271468 PECOS PAC ID: 5890079248 Enrollment ID: I20200106001508 |
| Provider Name | Tiffany Pranno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477040848 PECOS PAC ID: 4789014903 Enrollment ID: I20200430000675 |
| Provider Name | Christopher Mark Tippets |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962745182 PECOS PAC ID: 9133550429 Enrollment ID: I20200521001051 |
| Provider Name | Nathan Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295190189 PECOS PAC ID: 1355762121 Enrollment ID: I20200603000321 |
| Provider Name | Heather Krambule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568097715 PECOS PAC ID: 6103240734 Enrollment ID: I20200715003223 |
| Provider Name | Jenafer Maelorna Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760778997 PECOS PAC ID: 7911322136 Enrollment ID: I20200805002429 |
| Provider Name | Maria J Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265037766 PECOS PAC ID: 8426460536 Enrollment ID: I20201215000771 |
| Provider Name | Marty Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659386480 PECOS PAC ID: 8527471127 Enrollment ID: I20201228000968 |
| Provider Name | Craig Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902481286 PECOS PAC ID: 3870901390 Enrollment ID: I20210422001785 |
| Provider Name | Colby Grey James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193926 PECOS PAC ID: 5991113250 Enrollment ID: I20210426002880 |
| Provider Name | Kira Tadehara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518417153 PECOS PAC ID: 8527460823 Enrollment ID: I20210708003240 |
| Provider Name | Charlotte R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801981113 PECOS PAC ID: 5092810754 Enrollment ID: I20211110002044 |
| Provider Name | Joseph S Puntasecca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518427319 PECOS PAC ID: 1759771017 Enrollment ID: I20211201001812 |
| Provider Name | April Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720559172 PECOS PAC ID: 0547654295 Enrollment ID: I20220223002463 |
| Provider Name | Heather Ratcliffe Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598410706 PECOS PAC ID: 0749674299 Enrollment ID: I20220225000994 |
| Provider Name | Debra Jean Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568956142 PECOS PAC ID: 8325433220 Enrollment ID: I20220310002694 |
| Provider Name | Margerita Hope Maybee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306415369 PECOS PAC ID: 5193110690 Enrollment ID: I20220321000417 |
| Provider Name | Elizabeth Regan Harwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043887243 PECOS PAC ID: 7416343181 Enrollment ID: I20220405002375 |
| Provider Name | Jamie C Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710318738 PECOS PAC ID: 3870972367 Enrollment ID: I20220613002320 |
| Provider Name | Angela De Giorgio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417404088 PECOS PAC ID: 9739568726 Enrollment ID: I20220622001251 |
| Provider Name | Christina M. Falk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770088569 PECOS PAC ID: 6608209663 Enrollment ID: I20220715002379 |
| Provider Name | Michelle Renee Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366941957 PECOS PAC ID: 7719369016 Enrollment ID: I20220803001888 |
| Provider Name | Teighlor Kodel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477191203 PECOS PAC ID: 5294111282 Enrollment ID: I20220928001995 |
| Provider Name | Shayla Kaminske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952952822 PECOS PAC ID: 8123404142 Enrollment ID: I20220928002939 |
| Provider Name | Allison Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780084657 PECOS PAC ID: 6103202130 Enrollment ID: I20220928003434 |
| Provider Name | Elizabeth Playle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326519562 PECOS PAC ID: 0840660270 Enrollment ID: I20221229002614 |
| Provider Name | Christina A Mikesell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366051252 PECOS PAC ID: 0244600484 Enrollment ID: I20230103002678 |
| Provider Name | Alex Valencia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881252310 PECOS PAC ID: 6901271329 Enrollment ID: I20230417000650 |
| Provider Name | Latai Tuivai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427624287 PECOS PAC ID: 6204280753 Enrollment ID: I20231002002920 |
| Provider Name | Kyle Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467796185 PECOS PAC ID: 6305290701 Enrollment ID: I20231003001890 |
| Provider Name | Roberto De Giorgio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639568967 PECOS PAC ID: 5698125458 Enrollment ID: I20231220002304 |
| Provider Name | Brian Christopher Reeves |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033874789 PECOS PAC ID: 9032569181 Enrollment ID: I20240102002005 |
| Provider Name | Clifford Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013398817 PECOS PAC ID: 2365887395 Enrollment ID: I20240229003561 |
| Provider Name | Christopher Scott Hales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063797520 PECOS PAC ID: 0446696025 Enrollment ID: I20240306002876 |
| Provider Name | Peter Alan Brickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164720207 PECOS PAC ID: 4486090776 Enrollment ID: I20240308002121 |
| Provider Name | Katherine Rose Tocce-carlson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326167628 PECOS PAC ID: 4587000898 Enrollment ID: I20240308002549 |
| Provider Name | Jared Braithwaite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306467345 PECOS PAC ID: 3971949967 Enrollment ID: I20240313000984 |
| Provider Name | Teresa Clawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598157976 PECOS PAC ID: 0648616565 Enrollment ID: I20240313002432 |
| Provider Name | Nefily Ledezma |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174043145 PECOS PAC ID: 1456797315 Enrollment ID: I20240313003615 |
| Provider Name | Cynthia Morris Fennell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205244423 PECOS PAC ID: 1254777162 Enrollment ID: I20240314000968 |
| Provider Name | Shawnda Flitton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639414352 PECOS PAC ID: 1052757879 Enrollment ID: I20240314001877 |
| Provider Name | Margaret Baldwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467977868 PECOS PAC ID: 4981041308 Enrollment ID: I20240321001074 |
| Provider Name | Andi Syphers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316439144 PECOS PAC ID: 8820435001 Enrollment ID: I20240322003865 |
| Provider Name | Van Arthur Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336705615 PECOS PAC ID: 0840637773 Enrollment ID: I20240327000910 |
| Provider Name | Jane L. Woolley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811165343 PECOS PAC ID: 3173960994 Enrollment ID: I20240328000335 |
| Provider Name | Scott Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851927594 PECOS PAC ID: 0042657884 Enrollment ID: I20240328001320 |
| Provider Name | Blake C. Hunsaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568638484 PECOS PAC ID: 0749627594 Enrollment ID: I20240328001449 |
| Provider Name | Joshua Ray Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265613129 PECOS PAC ID: 7214374081 Enrollment ID: I20240328002084 |
| Provider Name | Julie Lynn Vandenberghe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982956389 PECOS PAC ID: 7012355613 Enrollment ID: I20240402001194 |
| Provider Name | Tyson Jeffrey Barlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124382387 PECOS PAC ID: 1254779887 Enrollment ID: I20240402002594 |
| Provider Name | Stefanie Petersen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922448588 PECOS PAC ID: 2264870815 Enrollment ID: I20240402003488 |
| Provider Name | Matthew Stanley Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497726152 PECOS PAC ID: 5092153411 Enrollment ID: I20240404002029 |
| Provider Name | Crystal Porter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952818734 PECOS PAC ID: 8527406875 Enrollment ID: I20240404003324 |
| Provider Name | Shaylee Bree Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346812898 PECOS PAC ID: 2860831906 Enrollment ID: I20240422002616 |
| Provider Name | Mary Nelson Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992390660 PECOS PAC ID: 5890135933 Enrollment ID: I20240506004214 |
Barbara Morrell Hughes Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1492 W Antelope Dr, Suite #250, Layton, UT 84041 Phone: 801-726-1388 Fax: 801-773-8625 | |
Cairns Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2363 N Hill Field Rd Ste 112, Layton, UT 84041 Phone: 801-683-0202 | |
Mountainside Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 N Main St Ste 130, Layton, UT 84041 Phone: 801-833-7536 | |
Gold Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2363 N Hill Field Rd Ste 6, Layton, UT 84041 Phone: 801-738-4653 | |
Lakeshore Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2363 N Hill Field Rd Ste 112, Layton, UT 84041 Phone: 385-240-1612 | |
Dc Corgiat Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 N 700 W Ste 190, Layton, UT 84041 Phone: 801-820-6169 | |
Abaecare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Gordon Ave, Layton, UT 84041 Phone: 605-271-2690 Fax: 605-271-3956 |