Heidi H. Cheney Lcsw | |
1431 N 1200 W Orem UT 84057-2449 | |
(801) 836-5555 | |
Not Available |
Full Name | Heidi H. Cheney Lcsw |
---|---|
Speciality | Clinic/Center |
Location | 1431 N 1200 W, Orem, Utah |
Authorized Official Name and Position | Heidi H. Cheney (DIRECT OWNER) |
Authorized Official Contact | 8018365555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heidi H. Cheney Lcsw 1431 N 1200 W Orem UT 84057-2449 Ph: (801) 836-5555 | Heidi H. Cheney Lcsw 1431 N 1200 W Orem UT 84057-2449 Ph: (801) 836-5555 |
NPI Number | 1255843181 |
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Provider Enumeration Date | 11/01/2017 |
Last Update Date | 12/29/2020 |
Certification Date | 12/29/2020 |
Medicare PECOS PAC ID | 8123432838 |
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Medicare Enrollment ID | O20210120002232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255843181 | NPI | - | NPPES |
7383330-3501 | Other | UT | DOPL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7383330-3501 (Utah) | Primary |
Provider Name | Heidi H Cheney |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821325895 PECOS PAC ID: 9537326996 Enrollment ID: I20120214000074 |
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