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ALTERNATIVE HEALING-TRAUMA AND PSYCHEDELIC INTEGRATION CLINIC NPI 1104532902


NPI Information

NPI: 1104532902
Provider Name: ALTERNATIVE HEALING-TRAUMA AND PSYCHEDELIC INTEGRATION CLINIC

Doing Business As: ALTERNATIVE THERAPY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
748 S 825 E
LAYTON, UT
ZIP 84041
Phone: (352) 256-2560
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ALTERNATIVE HEALING-TRAUMA AND PSYCHEDELIC INTEGRATION CLINIC is a mental health (including community mental health center) clinic center in Layton, UT. ALTERNATIVE HEALING-TRAUMA AND PSYCHEDELIC INTEGRATION CLINIC NPI is 1104532902. The provider is registered as an organization entity type.
The provider Is Doing Business As Alternative Therapy.

The provider's business location address is:

748 S 825 E
LAYTON, UT
ZIP 84041-390
Phone: (352) 256-2560

The provider's authorized official is Krista Buda .
The authorized official title is Owner/therapist and has the following contact phone number (352) 256-2560.

The enumeration date for this NPI number is 1/25/2023 and was last updated on 1/25/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
113758OTHERUTAHBUSINESS LICENSE NUMBER

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: 5/5/2024

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