| Behavioral Health Solutions Of Utah | |
|
248 E 13800 S Ste 4 Draper UT 84020-5011 | |
| (833) 719-0886 | |
| Not Available |
| Full Name | Behavioral Health Solutions Of Utah |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 248 E 13800 S Ste 4, Draper, Utah |
| Authorized Official Name and Position | Kristina Kovacs (OWNER) |
| Authorized Official Contact | 8337190886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solutions Of Utah 2200 Paseo Verde Pkwy Ste 190 Henderson NV 89052-2703 Ph: (833) 719-0886 | Behavioral Health Solutions Of Utah 248 E 13800 S Ste 4 Draper UT 84020-5011 Ph: (833) 719-0886 |
| NPI Number | 1568226579 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9739625740 |
|---|---|
| Medicare Enrollment ID | O20240726001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568226579 | NPI | - | NPPES |
| Provider Name | Heather Dangerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504915 PECOS PAC ID: 7315367703 Enrollment ID: I20201023002758 |
| Provider Name | Ruby S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962070615 PECOS PAC ID: 2769879600 Enrollment ID: I20220425001171 |
| Provider Name | Jamie C Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710318738 PECOS PAC ID: 3870972367 Enrollment ID: I20220613002320 |
| Provider Name | Amber Fawn Kostial |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760772693 PECOS PAC ID: 2163733957 Enrollment ID: I20220817003560 |
| Provider Name | Bruno Ferreira Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521214 PECOS PAC ID: 6103293014 Enrollment ID: I20221107001485 |
| Provider Name | Ammon James Veil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811566342 PECOS PAC ID: 3274982343 Enrollment ID: I20231214001697 |
| Provider Name | Randy Ray Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114043072 PECOS PAC ID: 3678924883 Enrollment ID: I20240111002223 |
| Provider Name | Tiffany Zwahlen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841840444 PECOS PAC ID: 3870936602 Enrollment ID: I20240208003589 |
| Provider Name | Rebeka Linn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356104913 PECOS PAC ID: 5193161065 Enrollment ID: I20240314000469 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20240412004012 |
| Provider Name | Melissa Lynn Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053424770 PECOS PAC ID: 2365845385 Enrollment ID: I20240613003892 |
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