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General NPI Number Information
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NPI Number | 1528919891
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Entity Type | Organization
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Legal Business Name | SAGEBRUSH MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1532 N 160 W STE 110
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City | LOGAN
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State | UT
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Zip | 84341-3197
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Country | US
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Telephone | 435-227-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 714 RIVERVIEW AVE
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City | LOGAN
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State | UT
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Zip | 84321-4730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | AUTUMN ABBOTT
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Credential | LCSW
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Telephone | 435-227-5113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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