BRIDGEZ BEARDALL


Address: 411 W 7200 S Ste 304, Midvale, UT 84047-1016
Phone: 3852370110

BRIDGEZ BEARDALL (NPI# 1871003376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871003376
Entity Type Individual
Full Name BRIDGEZ BEARDALL
Credential M. ED, ACMHC
Practice Address 411 W 7200 S Ste 304
Midvale
UT 84047-1016
Practice Telephone 3852370110
Mailing Telephone 8019904300
Enumeration Date 2017-10-10
Last Update Date 2018-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
10846428-6009 UT Behavioral Health & Social Service Providers

Office Location

Street Address 411 W 7200 S STE 304
City MIDVALE
State UT
Zip Code 84047-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972823953 Regina Gulick Counselor 411 W 7200 S Ste 304, Midvale, UT 84047-1016 2010-06-01

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1619457314 Tlcpo LLC Counselor 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 2018-08-21
1700371606 Heather Ivana Lawrence Social Worker 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 2018-06-25
1285128942 A&a Counseling Counselor 7602 S Main St, Midvale, UT 84047 2018-06-17
1396235339 Hhalmid Assisted Living Facility 6968 S 700 E, Midvale, UT 84047 2018-05-15
1750879987 Rosemarie Elaine Brinig Counselor 75 E. Ft. Union, C118, Midvale, UT 84047 2018-04-24
1861921140 Olivia Devenport Behavior Technician 7434 S State Street, Midvale, UT 84047 2017-06-08
1376083071 Marathon Health, LLC Nurse Practitioner 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 2017-02-28
1710436316 Michael Naanes Physical Therapist 900 East 6900 South, Suite 100, Midvale, UT 84047 2016-09-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427668722 Katrina Riley Counselor 930 E Canyon Ridge Way Apt 10, Midvale, UT 84047-4454 2020-08-03
1659995553 Kaitlin Longfellow Counselor 217 E 7800 S, Midvale, UT 84047-2653 2020-06-05
1225697162 Stephanie Fae Cowley Counselor 91 E Fort Union Blvd, Midvale, UT 84047-1531 2019-06-12
1356826036 Cottonwood Creek Counseling Counselor 7321 S State St Ste A, Midvale, UT 84047-6105 2018-09-28
1285128942 A&a Counseling Counselor 7602 S Main St, Midvale, UT 84047 2018-06-17
1750879987 Rosemarie Elaine Brinig Counselor 75 E. Ft. Union, C118, Midvale, UT 84047 2018-04-24
1972823953 Regina Gulick Counselor 411 W 7200 S Ste 304, Midvale, UT 84047-1016 2010-06-01
1063686160 Wayne Sears Counselor 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 2008-04-18
1710539044 Paige Nicole Gutzman Counselor 613 E Fort Union Blvd Ste 104, Midvale, UT 84047-5531 2019-07-16
1306407119 Tiffany Youngberg Counselor 7309 S 180 W, Midvale, UT 84047-1020 2019-06-24
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Competitor

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City MIDVALE
Zip Code 84047

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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