| Create Health Llc | |
|
885 W Baxter Dr South Jordan UT 84095-8506 | |
| (801) 518-3497 | |
| (801) 446-3515 |
| Full Name | Create Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 885 W Baxter Dr, South Jordan, Utah |
| Authorized Official Name and Position | Dorann C Mitchell (OWNER) |
| Authorized Official Contact | 8015183497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Health Llc 562 E Land Rush Dr Midvale UT 84047-4649 Ph: (801) 518-3497 | Create Health Llc 885 W Baxter Dr South Jordan UT 84095-8506 Ph: (801) 518-3497 |
| NPI Number | 1184167496 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184167496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 141768-3501 (Utah) | Primary |
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