Gratitude Counseling Services | |
3590 Harrison Blvd Unit Gl2 Ogden UT 84403-2060 | |
(385) 264-9695 | |
Not Available |
Full Name | Gratitude Counseling Services |
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Speciality | Clinic/Center |
Location | 3590 Harrison Blvd Unit Gl2, Ogden, Utah |
Authorized Official Name and Position | Charles Mark Osborne (OWNER/THERAPIST) |
Authorized Official Contact | 3852649695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gratitude Counseling Services 951 E 1510 N North Ogden UT 84404-7706 Ph: (385) 264-9695 | Gratitude Counseling Services 3590 Harrison Blvd Unit Gl2 Ogden UT 84403-2060 Ph: (385) 264-9695 |
NPI Number | 1154196483 |
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Provider Enumeration Date | 11/16/2023 |
Last Update Date | 11/16/2023 |
Certification Date | 11/16/2023 |
Medicare PECOS PAC ID | 7113367830 |
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Medicare Enrollment ID | O20240429002387 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154196483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Charles Mark Osborne |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982231999 PECOS PAC ID: 0749620466 Enrollment ID: I20240429002449 |
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