MEDICARE: TRUU MANAGEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	261Q00000X	Clinic/Center
3	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1689292658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUU MANAGEMENT

Provider Business Mailing Address
First Line	:	1554 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-1632
Country	:	US
Telephone Number	:	801-542-0702
Fax Number	:

Provider Business Practice Location Address
First Line	:	1554 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-1632
Country	:	US
Telephone Number	:	801-542-0702
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. RAMONE MARTINEZ
Credential	:	CEO
Telephone Number	:	801-471-1027

Provider Enumeration Date	:	07/07/2020
Last Update Date	:	07/07/2020

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Directions to “TRUU MANAGEMENT ” Practice Location

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