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MOUNTAINSTAR BEHAVIORAL HEALTH LLC NPI 1174868525


NPI Information

NPI: 1174868525
Provider Name: MOUNTAINSTAR BEHAVIORAL HEALTH LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
630 MEDICAL DR
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 299-2186
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MOUNTAINSTAR BEHAVIORAL HEALTH LLC is a neurology psychiatry neurology in Bountiful, UT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MOUNTAINSTAR BEHAVIORAL HEALTH LLC NPI is 1174868525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 MEDICAL DR
BOUNTIFUL, UT
ZIP 84010-908
Phone: (801) 299-2186
Fax: (801) 299-2416

The provider's authorized official is Louis Joseph .
The authorized official title is Vp and has the following contact phone number (615) 373-7630.

The enumeration date for this NPI number is 12/11/2012 and was last updated on 8/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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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