Synergism Counseling, Llc | |
11075 S State St Ste 16 Sandy UT 84070-5196 | |
(801) 350-1671 | |
(801) 446-6511 |
Full Name | Synergism Counseling, Llc |
---|---|
Speciality | Clinic/Center |
Location | 11075 S State St Ste 16, Sandy, Utah |
Authorized Official Name and Position | Michelle H Greene (OWNER/THERAPIST) |
Authorized Official Contact | 8013501671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Synergism Counseling, Llc Po Box 1292 Midway UT 84049-1292 Ph: (801) 350-1671 | Synergism Counseling, Llc 11075 S State St Ste 16 Sandy UT 84070-5196 Ph: (801) 350-1671 |
NPI Number | 1124313481 |
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Provider Enumeration Date | 06/15/2011 |
Last Update Date | 09/11/2018 |
Medicare PECOS PAC ID | 4789845199 |
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Medicare Enrollment ID | O20120411000810 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124313481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Michelle E Greene |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508971276 PECOS PAC ID: 7315108735 Enrollment ID: I20120411000840 |
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