# ADVANCED AWARENESS COUNSELING, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184009508
- **Authorized official:** MRS. ELIZABETH V MACIAS JD (OWNER)
- **Authorized official phone:** (408) 420-5730

## Contact information

- **Practice address:** 4125 N CANYON RD, PROVO, UT 84604-5015
- **Practice address phone:** (408) 420-5730
- **Mailing address:** 4141 S HIGHLAND DR, SUITE 208, SALT LAKE CITY, UT 84124-2642
- **Mailing address phone:** (408) 420-5730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 8173984-6009 | UT | Yes |
| 251S00000X | Community/Behavioral Health Agency | 8173984-6009 | UT | — |

## Other

- **Enumeration date:** 07/27/2015
- **Last updated:** 07/27/2015