Healthcare Provider Details

I. General information

NPI: 1164137170
Provider Name (Legal Business Name): RIVER HOLLOW MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W CACHE VALLEY BLVD STE 7A
LOGAN UT
84341-8475
US

IV. Provider business mailing address

40 W CACHE VALLEY BLVD STE 7A
LOGAN UT
84341-8475
US

V. Phone/Fax

Practice location:
  • Phone: 435-538-2152
  • Fax: 435-625-6237
Mailing address:
  • Phone: 435-538-2152
  • Fax: 435-625-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JACOB CHRISTIAN HUNSAKER
Title or Position: CEO
Credential: DNP, PMHNP, LMFT
Phone: 435-538-2152