| Liberated Mind Counseling And Health Center | |
|
1547 Oak St Ogden UT 84401-2009 | |
| (801) 513-3990 | |
| Not Available |
| Full Name | Liberated Mind Counseling And Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1547 Oak St, Ogden, Utah |
| Authorized Official Name and Position | Robert Morris (OWNER, OPERATOR) |
| Authorized Official Contact | 8015133990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberated Mind Counseling And Health Center 1547 Oak St Ogden UT 84401-2009 Ph: () - | Liberated Mind Counseling And Health Center 1547 Oak St Ogden UT 84401-2009 Ph: (801) 513-3990 |
| NPI Number | 1710614086 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 6305384736 |
|---|---|
| Medicare Enrollment ID | O20240816002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710614086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robert C Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225512650 PECOS PAC ID: 0446798771 Enrollment ID: I20240905004407 |
| Provider Name | Julare A Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689394108 PECOS PAC ID: 3173061405 Enrollment ID: I20241206002893 |
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