MEDICARE: MILLCREEK MIND AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1164379459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLCREEK MIND AND WELLNESS

Provider Business Mailing Address
First Line	:	3080 S 2075 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2415
Country	:	US
Telephone Number	:	801-871-5009
Fax Number	:

Provider Business Practice Location Address
First Line	:	4578 S HIGHLAND DR STE 250
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4200
Country	:	US
Telephone Number	:	801-871-5009
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	ZACHARY PERRY
Credential	:	PA-C, CAQ-PSYCH
Telephone Number	:	801-750-4716

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	06/13/2026

Similar Medicare Providers

1265082242 — ZACHARY PERRY PA-C, CAQ-PSYCH
Practice Location Address:

4578 S HIGHLAND DR STE 250
MILLCREEK, UT
84117-4200

Practice Phone: 801-871-5009
Practice Fax:

1558708586 — JENNIFER MICHELLE PANAHINIA
Practice Location Address:

4578 S HIGHLAND DR STE 250
MILLCREEK, UT
84117-4200

Practice Phone: 385-800-1818
Practice Fax:

1689508186 — MINDY ANN MORGAN CSW
Practice Location Address:

4578 S HIGHLAND DR STE 380
MILLCREEK, UT
84117-4204

Practice Phone: 801-214-1152
Practice Fax:

1689508699 — EYESEEU LLC
Practice Location Address:

4568 S HIGHLAND DR STE 380
MILLCREEK, UT
84117-4213

Practice Phone: 801-808-3130
Practice Fax:

1780519702 — RECLAIM PSYCHOLOGICAL SERVICES LLC
Practice Location Address:

4568 S HIGHLAND DR STE 380
MILLCREEK, UT
84117-4213

Practice Phone: 385-458-8947
Practice Fax:

1538092812 — METTALISE BRACHT-BEDELL
Practice Location Address:

4578 S HIGHLAND DR STE 350
MILLCREEK, UT
84117-4221

Practice Phone: 801-906-8520
Practice Fax:

Directions to “MILLCREEK MIND AND WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.