Feller Behavioral Health Services | |
537 W 2600 S Ste 203 Bountiful UT 84010-7780 | |
(801) 809-1049 | |
Not Available |
Full Name | Feller Behavioral Health Services |
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Speciality | Social Worker |
Location | 537 W 2600 S Ste 203, Bountiful, Utah |
Authorized Official Name and Position | Kelly Carl Feller (OWNER) |
Authorized Official Contact | 8018091049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Feller Behavioral Health Services 537 W 2600 S Ste 203 Bountiful UT 84010-7780 Ph: (801) 809-1049 | Feller Behavioral Health Services 537 W 2600 S Ste 203 Bountiful UT 84010-7780 Ph: (801) 809-1049 |
NPI Number | 1295177038 |
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Provider Enumeration Date | 07/22/2013 |
Last Update Date | 09/06/2013 |
Medicare PECOS PAC ID | 6800030727 |
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Medicare Enrollment ID | O20130916000547 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295177038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7057775-3501 (Utah) | Primary |
Provider Name | Kelly Carl Feller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134417132 PECOS PAC ID: 8325282247 Enrollment ID: I20130916000606 |
Provider Name | Spencer Lowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427539014 PECOS PAC ID: 9133468291 Enrollment ID: I20190307000679 |
Provider Name | Amanda K Banfill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740849389 PECOS PAC ID: 1759799612 Enrollment ID: I20210414002769 |
Provider Name | Rebecca L Feller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861896813 PECOS PAC ID: 8729484803 Enrollment ID: I20221020002915 |
Provider Name | Sadie Pyne |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316426570 PECOS PAC ID: 1850765504 Enrollment ID: I20230320000915 |
Provider Name | Braeden Gates |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174042352 PECOS PAC ID: 9234506239 Enrollment ID: I20230328001720 |
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