Blake Thomas Halliday, LMFT - Couples Therapy in Riverdale, UT

Blake Thomas Halliday, LMFT is a Marriage & Family Therapist based in Riverdale, Utah. Blake Thomas Halliday is licensed to practice in Utah (license number 5989003-3902) and his current practice location is 5149 S 1500 W, Riverdale, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 475-0402.

NPI number for Blake Thomas Halliday is 1710068473 and his current mailing address is 5149 S 1500 W, Riverdale, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710068473.

Contact Information

Blake Thomas Halliday, LMFT
5149 S 1500 W,
Riverdale, UT 84405-3926
(801) 475-0402
(801) 475-7464

Healthcare Provider's Profile

Full NameBlake Thomas Halliday
GenderMale
SpecialityMarriage & Family Therapist
Location5149 S 1500 W, Riverdale, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710068473
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 01/04/2010

Medical Identifiers

Medical identifiers for Blake Thomas Halliday such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710068473NPI-NPPES
260022408OtherRAILROAD MEDICARE
876000308007MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 5989003-3902 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Thomas Halliday is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Thomas Halliday, LMFT
5149 S 1500 W,
Riverdale, UT 84405-3926

Ph: (801) 475-0402
Blake Thomas Halliday, LMFT
5149 S 1500 W,
Riverdale, UT 84405-3926

Ph: (801) 475-0402

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› Verified 2 days ago


Marriage & Family Therapist in Riverdale, UT

Taylor Cameron Herrin, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5149 S 1500 W, Riverdale, UT 84405
Phone: 801-475-0402    Fax: 801-475-7464
Angie Berry, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5149 S 1500 W, Riverdale, UT 84405
Phone: 801-475-0402    Fax: 801-475-7464

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