MEDICARE: HAPTEN COUNSELING SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184057028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPTEN COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	7069 S HIGHLAND DR
Second Line	:	SUITE 100
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3724
Country	:	US
Telephone Number	:	801-310-9968
Fax Number	:	801-447-6894

Provider Business Practice Location Address
First Line	:	7069 S HIGHLAND DR
Second Line	:	SUITE 100
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3724
Country	:	US
Telephone Number	:	801-310-9968
Fax Number	:	801-447-6894

Authorized Official
Title or Position	:	OWNER
Name	:	NICKI HOPWOOD
Credential	:	LCSW
Telephone Number	:	801-310-9968

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	08/14/2013

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