| Senior Health Counseling Services Llc | |
|
598 W 900 S Ste 230 Woods Cross UT 84010-8195 | |
| (385) 403-0410 | |
| (385) 403-0411 |
| Full Name | Senior Health Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 598 W 900 S Ste 230, Woods Cross, Utah |
| Authorized Official Name and Position | Edward Bangerter (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8013974101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Counseling Services Llc 598 W 900 S Ste 230 Woods Cross UT 84010-8195 Ph: (385) 403-0410 | Senior Health Counseling Services Llc 598 W 900 S Ste 230 Woods Cross UT 84010-8195 Ph: (385) 403-0410 |
| NPI Number | 1073356945 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 2163962648 |
|---|---|
| Medicare Enrollment ID | O20240911001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073356945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark Richard Dale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689280281 PECOS PAC ID: 1951721422 Enrollment ID: I20201022000540 |
| Provider Name | Courtney B Bushnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114798469 PECOS PAC ID: 1153861638 Enrollment ID: I20240923001156 |
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