Mccoy Consulting Llc | |
1872 S 1600 E Salt Lake City UT 84105-3872 | |
(801) 633-0610 | |
Not Available |
Full Name | Mccoy Consulting Llc |
---|---|
Speciality | Social Worker |
Location | 1872 S 1600 E, Salt Lake City, Utah |
Authorized Official Name and Position | Elizabeth Baker Mccoy (OWNER) |
Authorized Official Contact | 8016330610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mccoy Consulting Llc 1872 S 1600 E Salt Lake City UT 84105-3872 Ph: (801) 633-0610 | Mccoy Consulting Llc 1872 S 1600 E Salt Lake City UT 84105-3872 Ph: (801) 633-0610 |
NPI Number | 1497344774 |
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Provider Enumeration Date | 01/12/2021 |
Last Update Date | 01/12/2021 |
Certification Date | 01/12/2021 |
Medicare PECOS PAC ID | 0244646677 |
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Medicare Enrollment ID | O20210310001418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497344774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth Baker Mccoy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174134860 PECOS PAC ID: 7618382581 Enrollment ID: I20210226002590 |
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