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TRAUMA AWARENESS & TREATMENT CENTER INC. NPI 1770542219


NPI Information

NPI: 1770542219
Provider Name: TRAUMA AWARENESS & TREATMENT CENTER, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
32 W WINCHESTER ST
SUITE 101
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 263-6367
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TRAUMA AWARENESS & TREATMENT CENTER, INC. is a mental health counselor in Salt Lake City, UT. TRAUMA AWARENESS & TREATMENT CENTER, INC. NPI is 1770542219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 W WINCHESTER ST
SUITE 101
SALT LAKE CITY, UT
ZIP 84107-607
Phone: (801) 263-6367
Fax: (801) 263-6370

The provider's authorized official is Lawrence Dalton Beall .
The authorized official title is Clinical Director and has the following contact phone number (801) 263-6367.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health10844UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1788007788591MEDICAIDUTAH

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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