MEDICARE: INTEGRAL BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1902697741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAL BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	6300 SAGEWOOD DR STE H328
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-7502
Country	:	US
Telephone Number	:	801-872-3113
Fax Number	:

Provider Business Practice Location Address
First Line	:	3071 ELK RUN DR
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-5385
Country	:	US
Telephone Number	:	612-331-1391
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JASON A. TURNER
Credential	:	LCSW
Telephone Number	:	801-872-3113

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	03/15/2026

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