Healthcare Provider Details

I. General information

NPI: 1871186593
Provider Name (Legal Business Name): PAPILLON HEALING SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 MOUNTAIN SPRINGS PKWY RM 263
SPRINGVILLE UT
84663-3007
US

IV. Provider business mailing address

1180 MOUNTAIN SPRINGS PKWY RM 263
SPRINGVILLE UT
84663-3007
US

V. Phone/Fax

Practice location:
  • Phone: 801-899-3610
  • Fax: 385-225-9373
Mailing address:
  • Phone: 801-899-3610
  • Fax: 385-225-9373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SOPHIE CROMAR
Title or Position: OWNER
Credential:
Phone: 801-473-7923