| River Oak Counseling Inc | |
|
3980 S 700 E Ste 22 Murray UT 84107-2589 | |
| (801) 833-1291 | |
| Not Available |
| Full Name | River Oak Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3980 S 700 E Ste 22, Murray, Utah |
| Authorized Official Name and Position | Diana Ballard (OWNER) |
| Authorized Official Contact | 8018331291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Oak Counseling Inc 1368 W Green Hedge Way West Jordan UT 84084-4140 Ph: () - | River Oak Counseling Inc 3980 S 700 E Ste 22 Murray UT 84107-2589 Ph: (801) 833-1291 |
| NPI Number | 1629677364 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Medicare PECOS PAC ID | 0345695953 |
|---|---|
| Medicare Enrollment ID | O20231017000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629677364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diana Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235531641 PECOS PAC ID: 1658633706 Enrollment ID: I20180329001402 |
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