Healthcare Provider Details

I. General information

NPI: 1609711274
Provider Name (Legal Business Name): LEMMON TREE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 N 250 W
VINEYARD UT
84059-6649
US

IV. Provider business mailing address

418 N 250 W
VINEYARD UT
84059-6649
US

V. Phone/Fax

Practice location:
  • Phone: 801-227-4814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SADIE LEMMON LEMMON
Title or Position: PROVIDER
Credential: FNP-BC, PMHNP-BC
Phone: 801-227-4814