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NPI Code Detail

MEDICARE: CENTRAL UTAH MENTAL HEALTH SUBSTANCE ABUSE

MEDICARE: CENTRAL UTAH MENTAL HEALTH SUBSTANCE ABUSE
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
1101YM0800XMental Health Counselor11190UT

General Provider Information

NPI Number : 1982619326
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL UTAH MENTAL HEALTH SUBSTANCE ABUSE
Provider Business Mailing Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number : 435-283-8401
Provider Business Practice Location Address
First Line : 390 W 100 N
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2131
Country : US
Telephone Number : 435-283-4065
Fax Number : 435-283-5387
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : RICHARD ANDERSON
Credential :
Telephone Number : 435-283-8400
Provider Enumeration Date : 07/31/2006
Last Update Date : 09/02/2025

Similar Medicare Providers

1306882972 — ALAN G. NELL LCSW
Practice Location Address:
390 W 100 N
EPHRAIM, UT
84627-2131
Practice Phone: 435-283-4065
Practice Fax: 435-283-5387
1467480236 — RHETT C. LARSEN LCSW
Practice Location Address:
390 W 1ST N
EPHRAIM, UT
84627-2131
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1740218452 — MARK N. METEKINGI LCSW
Practice Location Address:
390 W 1ST N
EPHRAIM, UT
84627-2131
Practice Phone: 435-283-4065
Practice Fax: 435-283-5387
1154359651 — BRIAN J. WHIPPLE LCSW
Practice Location Address:
390 W 1ST N
EPHRAIM, UT
84627-2131
Practice Phone: 435-283-4065
Practice Fax: 435-283-5387
1104946961 — ALYSSA WOLF CASE MANAGER
Practice Location Address:
390 W 100 N
EPHRAIM, UT
84627-2131
Practice Phone: 435-283-4065
Practice Fax: 435-283-5387
1376663070 — WELBY SCOTT LPC
Practice Location Address:
390 W 100 N
EPHRAIM, UT
84627-2131
Practice Phone: 435-283-4065
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Directions to “CENTRAL UTAH MENTAL HEALTH SUBSTANCE ABUSE ” Practice Location

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