Expansive Horizons Counseling & Psychological Services, Llc | |
228 West 200 South Suite 2e Kamas UT 84036 | |
(801) 360-6955 | |
Not Available |
Full Name | Expansive Horizons Counseling & Psychological Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 228 West 200 South, Kamas, Utah |
Authorized Official Name and Position | Liza Sanderson (PRESIDENT) |
Authorized Official Contact | 8013606955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Expansive Horizons Counseling & Psychological Services, Llc 596 Ash Court Kamas UT 84036 Ph: () - | Expansive Horizons Counseling & Psychological Services, Llc 228 West 200 South Suite 2e Kamas UT 84036 Ph: (801) 360-6955 |
NPI Number | 1922550136 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
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1922550136 | NPI | - | NPPES |
1447584511 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 8493271-6004 (Utah) | Primary |
251S00000X | Community/behavioral Health | 8493271-6004 (Utah) | Secondary |