Great Salt Lake Wellness Inc

LBN: Great Salt Lake Wellness Inc
Great Salt Lake Wellness Inc is an health care organization with primary practice located at 375 N Main St Ste 202 , Kaysville UT 84037-1278. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Great Salt Lake Wellness Inc can be contacted via phone (801) 844-1615, or through Bullock, Emily Young via phone (801) 389-9521.

Contact Information

Primary practice address
375 N Main St Ste 202 Kaysville UT 84037-1278
Phone: (801) 844-1615
Fax: (801) 825-1162
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Emily Young PSYD
Phone: (801) 389-9521

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7510289-2501 Utah

Profile Details

NPI number 1790152940
LBN Legal business name Great Salt Lake Wellness Inc
DBA Doing business as
Authorized official Bullock, Emily Young PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2015
Last updated Apr 17th, 2024 - about 8 months 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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