Wasatch Mental Health

LBN: Wasatch Behavioral Health Special Service District
Wasatch Mental Health is an health care organization with primary practice located at 750 N Freedom Blvd Suite 300, Provo UT 84601. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Wasatch Behavioral Health Special Service District can be contacted via phone (801) 373-4760, or through Williams, Doran via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Suite 300 Provo UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
Map and Directions
Authorized official contact:
Name: Williams, Doran Licensed Clinical Social Worker (LCSW)
Phone: (801) 373-4760

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Utah
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1356357115
LBN Legal business name Wasatch Behavioral Health Special Service District
DBA Doing business as Wasatch Mental Health
Authorized official Williams, Doran Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 30th, 2021 - about 3 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 1356357115 NPPES
Utah MEDICAID 870285565012

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