| Pride Counseling Inc | |
|
1174 E Graystone Way Ste 20e Salt Lake City UT 84106-2678 | |
| (801) 595-0666 | |
| (801) 595-0669 |
| Full Name | Pride Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1174 E Graystone Way Ste 20e, Salt Lake City, Utah |
| Authorized Official Name and Position | Jerry L Buie (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8015950666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Counseling Inc 1174 E Graystone Way Ste 20e Salt Lake City UT 84106-2678 Ph: (801) 595-0666 | Pride Counseling Inc 1174 E Graystone Way Ste 20e Salt Lake City UT 84106-2678 Ph: (801) 595-0666 |
| NPI Number | 1790899284 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 4284681925 |
|---|---|
| Medicare Enrollment ID | O20050405000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790899284 | NPI | - | NPPES |
| 377869655001 | Medicaid | UT | |
| 37786965502001 | Other | UT | BCBS OF UTAH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 140182-3501 (Utah) | Primary |
| Provider Name | Jerry L Buie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174599393 PECOS PAC ID: 0547217291 Enrollment ID: I20050406000260 |
Shrinkster, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E 4500 S Ste 302, Salt Lake City, UT 84107 Phone: 801-685-9600 Fax: 801-268-3777 | |
Burton Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1433 S 1100 E, Salt Lake City, UT 84105 Phone: 801-581-0422 | |
Sacred Circle Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 Fax: 801-364-4392 | |
Palliative Medicine Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 E 3900 S, Suite B, Salt Lake City, UT 84107 Phone: 801-747-0330 | |
Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 S Main St Ste B, Salt Lake City, UT 84115 Phone: 801-803-8105 | |
Blossom Aba Therapy Ut Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121 Phone: 732-730-7505 | |
Michael S Buxton Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E Ste 11, Salt Lake City, UT 84105 Phone: 801-318-1900 |