| Solstone, Llc | |
|
1353 N 1075 W Ste 204 Farmington UT 84025-2772 | |
| (385) 280-2384 | |
| Not Available |
| Full Name | Solstone, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1353 N 1075 W Ste 204, Farmington, Utah |
| Authorized Official Name and Position | Steven Dale Lancaster (OWNER) |
| Authorized Official Contact | 8016987728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solstone, Llc 1544 27th St Ogden UT 84403-0411 Ph: (801) 698-7728 | Solstone, Llc 1353 N 1075 W Ste 204 Farmington UT 84025-2772 Ph: (385) 280-2384 |
| NPI Number | 1710532619 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Medicare PECOS PAC ID | 2567799588 |
|---|---|
| Medicare Enrollment ID | O20190813002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710532619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Steven Dale Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396028726 PECOS PAC ID: 1850698341 Enrollment ID: I20160329000393 |
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