MOUNT LOGAN CLINIC LLC NPI 1275152910

NPI Information

NPI: 1275152910
Provider Name: MOUNT LOGAN CLINIC LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
246 E 1260 N
LOGAN, UT
ZIP 84341
Phone: (435) 750-6300
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MOUNT LOGAN CLINIC LLC is a mental health counselor in Logan, UT. MOUNT LOGAN CLINIC LLC NPI is 1275152910. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

246 E 1260 N
LOGAN, UT
ZIP 84341-501
Phone: (435) 750-6300
Fax: (435) 753-8995

The provider's authorized official is Kyle Hancock .
The authorized official title is Owner/provider and has the following contact phone number (435) 750-6300.

The enumeration date for this NPI number is 4/13/2020 and was last updated on 7/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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