Healthcare Provider Details

I. General information

NPI: 1558193342
Provider Name (Legal Business Name): BEHAVIORAL HEALTH SPECIALISTS OF UTAH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W BELLWOOD LN
MURRAY UT
84123-4494
US

IV. Provider business mailing address

3321 N BUFFALO DR STE 200
LAS VEGAS NV
89129-6680
US

V. Phone/Fax

Practice location:
  • Phone: 801-880-4011
  • Fax: 801-880-4012
Mailing address:
  • Phone: 702-857-8800
  • Fax: 702-857-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EUGENE ROSENMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 702-857-8800