| Creative Behavioral Connections Utah | |
|
1108 E South Union Ave Midvale UT 84047-2904 | |
| (702) 901-5200 | |
| Not Available |
| Full Name | Creative Behavioral Connections Utah |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1108 E South Union Ave, Midvale, Utah |
| Authorized Official Name and Position | Abby Grossa (CFO) |
| Authorized Official Contact | 7029015200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Behavioral Connections Utah 5803 W Craig Rd Ste 105 Las Vegas NV 89130-2537 Ph: () - | Creative Behavioral Connections Utah 1108 E South Union Ave Midvale UT 84047-2904 Ph: (702) 901-5200 |
| NPI Number | 1861225575 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861225575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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