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ALLIANCE BEHAVIORAL PSYCHIATRY LLC NPI 1306873062


NPI Information

NPI: 1306873062
Provider Name: ALLIANCE BEHAVIORAL PSYCHIATRY, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 46D2167597

Address:
361 E 1200 S
SUITE 201
OREM, UT
ZIP 84058
Phone: (801) 224-3014
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ALLIANCE BEHAVIORAL PSYCHIATRY, LLC is a clinic center in Orem, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ALLIANCE BEHAVIORAL PSYCHIATRY, LLC NPI is 1306873062. The provider is registered as an organization entity type.

The provider's business location address is:

361 E 1200 S
SUITE 201
OREM, UT
ZIP 84058-904
Phone: (801) 224-3014

The provider's authorized official is David L Paulson .
The authorized official title is Manager and has the following contact phone number (801) 224-3014.

The CLIA number assigned to this NPI record is 46D2167597 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 12/2/2022.


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
1261Q00000XClinic/Center5166088-1205UTAHYes

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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