UTAH HOUSE NPI 1700345972

NPI Information

NPI: 1700345972
Provider Name: UTAH HOUSE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1370 S WEST TEMPLE
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 678-3317
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UTAH HOUSE is a mental health counselor in Salt Lake City, UT. UTAH HOUSE NPI is 1700345972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1370 S WEST TEMPLE
SALT LAKE CITY, UT
ZIP 84115-218
Phone: (801) 678-3317

The provider's authorized official is Alycia E Jurgela .
The authorized official title is Ceo and has the following contact phone number (801) 678-3317.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 6/11/2019.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	1041C0700X	Social Worker	Clinical	No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
6	101YM0800X	Counselor	Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1477985513	MEDICAID	UTAH

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

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