Adam Brent Dyches I
Individual provider Active NPI Counselor · Moroni, UT
NPI 1780083808 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1780083808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4800 East 17160 North
Moroni, UT 84646 - Phone
- (435) 436-5321
- Fax
- (435) 436-5322
- NPI assigned
- Aug 14, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4800 East 17160 North
Moroni, UT 84646
Mailing address
PO Box 28
Moroni, UT 84646-0028
Phone (435) 436-5321
Other providers in Moroni, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. 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.