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NPI Code Detail

MEDICARE: RECLAIM PSYCHOLOGICAL SERVICES LLC

MEDICARE: RECLAIM PSYCHOLOGICAL SERVICES 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1780519702
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECLAIM PSYCHOLOGICAL SERVICES LLC
Provider Business Mailing Address
First Line : 4568 S HIGHLAND DR STE 380
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4213
Country : US
Telephone Number : 385-458-8947
Fax Number :
Provider Business Practice Location Address
First Line : 4568 S HIGHLAND DR STE 380
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4213
Country : US
Telephone Number : 385-458-8947
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. AMIRA TREVINO
Credential : PHD
Telephone Number : 385-458-8947
Provider Enumeration Date : 06/13/2026
Last Update Date : 06/13/2026

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Directions to “RECLAIM PSYCHOLOGICAL SERVICES LLC ” Practice Location

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