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NPI Code Detail

MEDICARE: CENTRAL UTAH COUNSELING CENTER

MEDICARE: CENTRAL UTAH COUNSELING CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3101YM0800XMental Health CounselorUT
4261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629421524
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL UTAH COUNSELING CENTER
Provider Business Mailing Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number : 463-283-8401
Provider Business Practice Location Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number : 463-283-8401
Authorized Official
Title or Position : BILLING
Name : TAMMY ARELLANO
Credential :
Telephone Number : 435-283-8400
Provider Enumeration Date : 07/15/2016
Last Update Date : 06/09/2026

Similar Medicare Providers

1962967232 — DONNELL MARIE JOHANSEN
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-8400
Practice Fax: 435-283-8401
1639185424 — CENTRAL UTAH COUNSELING CENTER
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-8400
Practice Fax:
1245338953 — NATHAN JARED STRAIT LCSW
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-8400
Practice Fax: 435-283-8401
1952487068 — EZEKIEL W BURNETT LCSW
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-8400
Practice Fax: 435-283-8401
1518099811 — MS. ANNAMARIA LADAMUS CMHC
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-8400
Practice Fax: 435-283-8401
1225255235 — DANE THURSTON PA
Practice Location Address:
152 N 400 W
EPHRAIM, UT
84627-5549
Practice Phone: 435-283-4065
Practice Fax: 435-462-8407

Directions to “CENTRAL UTAH COUNSELING CENTER ” Practice Location

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