Provider Type Icon

ADVANCED AWARENESS COUNSELING LLC. NPI 1184009508


NPI Information

NPI: 1184009508
Provider Name: ADVANCED AWARENESS COUNSELING, LLC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4125 N CANYON RD
PROVO, UT
ZIP 84604
Phone: (408) 420-5730
Get Directions

ADVANCED AWARENESS COUNSELING, LLC. is a mental health counselor in Provo, UT. ADVANCED AWARENESS COUNSELING, LLC. NPI is 1184009508. The provider is registered as an organization entity type.

The provider's business location address is:

4125 N CANYON RD
PROVO, UT
ZIP 84604-015
Phone: (408) 420-5730

The provider's authorized official is Elizabeth V Macias .
The authorized official title is Owner and has the following contact phone number (408) 420-5730.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health8173984-6009UTAHNo
2101YM0800XCounselorMental Health8173984-6009UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11568720472MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.