| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 50 N Main St, Tooele, Utah |
| Authorized Official Name and Position | Shirley Cottam (ACCOUNTS MANAGER) |
| Authorized Official Contact | 8016348727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 900245 Sandy UT 84090-0245 Ph: (801) 634-8727 | 50 N Main St Tooele UT 84074-2139 Ph: (801) 634-8727 |
| NPI Number | 1487191581 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487191581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Patricia Mcwhorter Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 40 S Main St, Tooele, UT 84074 Phone: 435-843-7060 Fax: 435-843-9548 | |
Healing Heart Center For Meaningful Change Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St Ste 2, Tooele, UT 84074 Phone: 435-849-0598 | |
Mira Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St, Tooele, UT 84074 Phone: 801-448-6523 | |
Desert Sky Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 541 N Coleman St, Tooele, UT 84074 Phone: 801-406-7526 Fax: 801-876-4212 | |