AWAKENING BEHAVIORAL HEALTH LLC NPI 1962947101

NPI Information

NPI: 1962947101
Provider Name: AWAKENING BEHAVIORAL HEALTH, LLC
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
9160 S 300 W STE 3
SANDY, UT
ZIP 84070
Phone: (801) 545-0406
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AWAKENING BEHAVIORAL HEALTH, LLC is a recovery care clinic center in Sandy, UT. AWAKENING BEHAVIORAL HEALTH, LLC NPI is 1962947101. The provider is registered as an organization entity type.

The provider's business location address is:

9160 S 300 W STE 3
SANDY, UT
ZIP 84070-656
Phone: (801) 545-0406

The provider's authorized official is Kerrylynn Baca-pelphrey .
The authorized official title is Cco, Exec Dir Payor Relations and has the following contact phone number (801) 658-9646.

The enumeration date for this NPI number is 12/26/2016 and was last updated on 11/27/2023.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	37088	UTAH	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	37087	UTAH	No
3	261QR0800X	Clinic/Center	Recovery Care			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
1	54650	OTHER	UTAH	STATE OF UTAH HUMAN SERVICES

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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