| Embrace Counseling | |
|
7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 | |
| (801) 441-2239 | |
| Not Available |
| Full Name | Embrace Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7478 S Campus View Dr Ste 100, West Jordan, Utah |
| Authorized Official Name and Position | Charrisse Hancock (OWNER) |
| Authorized Official Contact | 8014412239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Counseling 7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 Ph: () - | Embrace Counseling 7478 S Campus View Dr Ste 100 West Jordan UT 84084-1968 Ph: (801) 441-2239 |
| NPI Number | 1821761867 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 3577921998 |
|---|---|
| Medicare Enrollment ID | O20230616001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821761867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Chandice Parkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477924017 PECOS PAC ID: 1658739875 Enrollment ID: I20230621001014 |
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