| Juniper Healing Pllc | |
|
1174 E Graystone Way Ste 3 Salt Lake City UT 84106-2671 | |
| (385) 501-5420 | |
| Not Available |
| Full Name | Juniper Healing Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1174 E Graystone Way Ste 3, Salt Lake City, Utah |
| Authorized Official Name and Position | Megan Hall (OWNER) |
| Authorized Official Contact | 3855015420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Healing Pllc 1174 E Graystone Way Ste 3 Salt Lake City UT 84106-2671 Ph: (385) 501-5420 | Juniper Healing Pllc 1174 E Graystone Way Ste 3 Salt Lake City UT 84106-2671 Ph: (385) 501-5420 |
| NPI Number | 1134826860 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 0042676868 |
|---|---|
| Medicare Enrollment ID | O20230522001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134826860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609517887 PECOS PAC ID: 1951767771 Enrollment ID: I20230522002042 |
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