MEDICARE: UTAH BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	251S00000X	Community/Behavioral Health Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1790569531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 E TURNING POINT CIR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-1204
Country	:	US
Telephone Number	:	888-673-8684
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT & SECRETARY
Name	:	BRIAN P. FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	01/06/2026

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