Behavioral Health Services

LBN: Behavioral Health Services
Behavioral Health Services is an health care organization with primary practice located at 3225 W Gordon Ave , Layton UT 84041-6508. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Behavioral Health Services can be contacted via phone (801) 773-7177, or through Fairbank, Thomas via phone (801) 773-7177.

Contact Information

Primary practice address
3225 W Gordon Ave Layton UT 84041-6508
Phone: (801) 773-7177
Fax: (801) 498-7562
Website:
Map and Directions
Authorized official contact:
Name: Fairbank, Thomas PH.D.
Phone: (801) 773-7177

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1144204926
LBN Legal business name Behavioral Health Services
DBA Doing business as
Authorized official Fairbank, Thomas PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144204926 NPPES
Utah Other 000055010 MEDICARE ID-PIN

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