Stephen Beck

Individual provider Active NPI Mental Health Counselor · Hurricane, UT

NPI 1215275136 · NPPES record last updated Dec 16, 2022

Key facts

NPI
1215275136
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9543907-3501 (UT)
Practice address
433 S Diamond Ranch Pkwy W
Hurricane, UT 84737-3020
Phone
(435) 632-2647
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9543907-3501UTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X 9543907-3501 UT Yes

Addresses

Primary practice location

433 S Diamond Ranch Pkwy W
Hurricane, UT 84737-3020

Mailing address

937 S Peachtree Dr
Toquerville, UT 84774-5019
Phone (435) 632-2647

Other practice location 1

4989 N 3rd St
Laramie, WY 82072-9548
Phone (307) 745-8997

Other providers in Hurricane, UT

All providers in Hurricane, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.