BONNEVILLE MENTAL HEALTH PLLC NPI 1902236458

NPI Information

NPI: 1902236458
Provider Name: BONNEVILLE MENTAL HEALTH, PLLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
134 W 1180 N STE 4
TOOELE, UT
ZIP 84074
Phone: (435) 228-4181
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BONNEVILLE MENTAL HEALTH, PLLC is a rehabilitation and substance use disorder clinic center in Tooele, UT. BONNEVILLE MENTAL HEALTH, PLLC NPI is 1902236458. The provider is registered as an organization entity type.

The provider's business location address is:

134 W 1180 N STE 4
TOOELE, UT
ZIP 84074-483
Phone: (435) 228-4181

The provider's authorized official is Nate Green .
The authorized official title is Director Of Operations and has the following contact phone number (435) 228-4181.

The enumeration date for this NPI number is 11/20/2013 and was last updated on 5/10/2016.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	2903	UTAH	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2903	UTAH	Yes

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

NPI Synchronization or Removal

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