MEDICARE: ASCENSION MENTAL HEALTH LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1689523318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENSION MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	2573 E VALLEY VIEW AVE
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84117-5451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2573 E VALLEY VIEW AVE
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84117-5451
Country	:	US
Telephone Number	:	801-232-2144
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CURTIS BRIGGS
Credential	:
Telephone Number	:	801-232-2144

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	03/13/2026

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