Bonneville Mental Health, Pllc
LBN: Bonneville Mental Health, Pllc
Bonneville Mental Health, Pllc is an health care organization with primary practice located at 134 W 1180 N Ste 4 , Tooele UT 84074-1483. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Bonneville Mental Health, Pllc can be contacted via phone (435) 228-4181, or through Green, Nate via phone (435) 228-4181.
Contact Information
Primary practice address
134 W 1180 N Ste 4
Tooele UT 84074-1483
Phone: (435) 228-4181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 2903 | Utah |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 2903 | Utah |
Profile Details
| NPI number | 1902236458 |
|---|---|
| LBN Legal business name | Bonneville Mental Health, Pllc |
| DBA Doing business as | |
| Authorized official | Green, Nate |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2013 |
| Last updated | May 10th, 2016 - about 9 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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