MEDICARE: CAREVOY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist		UT

General Provider Information

NPI Number	:	1114457843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREVOY LLC

Provider Business Mailing Address
First Line	:	50 S STATE ST
Second Line	:
City	:	LA VERKIN
State	:	UT
Zip	:	84745-5443
Country	:	US
Telephone Number	:	877-698-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 S STATE ST
Second Line	:
City	:	LA VERKIN
State	:	UT
Zip	:	84745-5443
Country	:	US
Telephone Number	:	877-698-4968
Fax Number	:

Authorized Official
Title or Position	:	MANGER
Name	:	TYLER OLSEN
Credential	:
Telephone Number	:	801-285-6100

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	07/21/2022

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Directions to “CAREVOY LLC ” Practice Location

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