Anna Sophia Palmer, MA CMHC NCC

Individual provider Active NPI Mental Health Counselor · Springville, UT

NPI 1780115394 · NPPES record last updated Mar 24, 2017

Key facts

NPI
1780115394
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9832716-6009 (UT)
Practice address
815 W 450 S
Suite #110
Springville, UT 84663-2200
Phone
(801) 477-4084
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9832716-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Relationship Counseling, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9832716-6009 UT Yes

Addresses

Primary practice location

815 W 450 S
Suite #110
Springville, UT 84663-2200

Mailing address

1675 W 1065 S
Springville, UT 84663-3517
Phone (801) 602-9493

Other providers in Springville, UT

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

Sources for this page

Verify at the official NPI Registry.