Advanced Awareness Counseling, LLC.
Organization Active NPI Mental Health Counselor · Provo, UT
NPI 1184009508 · NPPES record last updated Jul 27, 2015
Key facts
- NPI
- 1184009508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8173984-6009 (UT)
- Legal business name
- ADVANCED AWARENESS COUNSELING, LLC.
- Practice address
- 4125 N Canyon Rd
Provo, UT 84604-5015 - Phone
- (408) 420-5730
- NPI assigned
- Jul 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elizabeth V Macias, JD
- Title
- Owner
- Phone
- (408) 420-5730
Practitioners 3
-
TJ Michael Harmon, CMHC
-
Marissa Elizabeth Sherman, M.S., CMHC, PCI
National Provider Directory
Locations
47 W 9000 S
Ste 1
Sandy, UT 84070
Phone (801) 792-1150
9140 S State St
Ste 201
Sandy, UT 84070
Phone (385) 455-3768
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 8173984-6009 | UT | Yes |
| Community/Behavioral Health Agency | 251S00000X | 8173984-6009 | UT |
Addresses
Primary practice location
4125 N Canyon Rd
Provo, UT 84604-5015
Mailing address
4141 S Highland Dr
Suite 208
Salt Lake City, UT 84124-2642
Phone (408) 420-5730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568720472 | Medicaid | UT |
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All providers in Provo, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.