Health-aware, Llc | |
1086 E Highway 193 Ste 102 Layton UT 84040-8573 | |
(208) 970-9087 | |
Not Available |
Full Name | Health-aware, Llc |
---|---|
Speciality | Counselor |
Location | 1086 E Highway 193 Ste 102, Layton, Utah |
Authorized Official Name and Position | Christopher Bezzant (OWNER) |
Authorized Official Contact | 2089709087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Health-aware, Llc 1086 E Highway 193 Ste 102 Layton UT 84040-8573 Ph: (208) 970-9087 | Health-aware, Llc 1086 E Highway 193 Ste 102 Layton UT 84040-8573 Ph: (208) 970-9087 |
NPI Number | 1417646266 |
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Provider Enumeration Date | 05/05/2023 |
Last Update Date | 05/05/2023 |
Certification Date | 05/05/2023 |
Medicare PECOS PAC ID | 6204379779 |
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Medicare Enrollment ID | O20240625002411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417646266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Gregory A Baird |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902148133 PECOS PAC ID: 7315167483 Enrollment ID: I20151231001882 |
Provider Name | Christopher Bezzant |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780086660 PECOS PAC ID: 2163795303 Enrollment ID: I20240722001941 |
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