|
| |
|
949 E 12400 S Ste A2 Draper UT 84020-9333 | |
| (801) 821-8176 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 949 E 12400 S Ste A2, Draper, Utah |
| Authorized Official Name and Position | Scott Frazier (OWNER) |
| Authorized Official Contact | 8018218176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
949 E 12400 S Ste A2 Draper UT 84020-9333 Ph: (801) 821-8176 | 949 E 12400 S Ste A2 Draper UT 84020-9333 Ph: (801) 821-8176 |
| NPI Number | 1154162030 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 2769922038 |
|---|---|
| Medicare Enrollment ID | O20240912004008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154162030 | NPI | - | NPPES |
| Provider Name | Scott G Frazier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750973277 PECOS PAC ID: 9739629007 Enrollment ID: I20241028004056 |
| Provider Name | Amber Frazier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568013886 PECOS PAC ID: 0749720019 Enrollment ID: I20241104001730 |
Thriving Hearts Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13363 S Saddle Villa Dr, Draper, UT 84020 Phone: 831-308-4020 | |
Smile Psychiatry And Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 E 12300 S Unit 328, Draper, UT 84020 Phone: 801-406-6256 Fax: 859-545-4978 | |
Life Elevated Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11620 S State St Ste 1403, Draper, UT 84020 Phone: 385-302-7369 Fax: 385-247-8023 | |
Caroline Welsh Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 782 E Pioneer Rd Ste 300, Draper, UT 84020 Phone: 385-312-0282 | |
Corner Canyon Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 E 13800 S, Suite 4, Draper, UT 84020 Phone: 801-816-1801 Fax: 801-501-0249 | |
Aspire Draper Lone Peak Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Election Rd Ste 110, Draper, UT 84020 Phone: 801-525-4645 Fax: 801-779-7808 |