=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528439585
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UTAH HEALTH & HUMAN RIGHTS PROJECT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2015
-----------------------------------------------------
Last Update Date | 04/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 650 E 4500 S STE 220
-----------------------------------------------------
City | MURRAY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84107-4520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-363-4596
-----------------------------------------------------
Fax | 801-363-6068
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 650 E 4500 S STE 220
-----------------------------------------------------
City | MURRAY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84107-4520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-494-5412
-----------------------------------------------------
Fax | 801-363-6068
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | HEIDI JUSTICE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 801-494-5412
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------