MEDICARE: AEWORKMAN, INC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891419149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEWORKMAN, INC

Provider Business Mailing Address
First Line	:	3585 N UNIVERSITY AVE STE 300
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6611
Country	:	US
Telephone Number	:	801-797-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3585 N UNIVERSITY AVE BLDG SUITE300
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6601
Country	:	US
Telephone Number	:	808-782-7409
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	WILLIAM HANSEN
Credential	:
Telephone Number	:	801-797-1111

Provider Enumeration Date	:	09/30/2022
Last Update Date	:	02/03/2026

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Directions to “AEWORKMAN, INC ” Practice Location

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