| Life Tree Psychiatry | |
|
251 W State Road 198 Ste 3 Salem UT 84653-5608 | |
| (801) 504-6665 | |
| (801) 504-9073 |
| Full Name | Life Tree Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 251 W State Road 198 Ste 3, Salem, Utah |
| Authorized Official Name and Position | Josh Hooton (OWNER/PROVIDER) |
| Authorized Official Contact | 8055046665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Tree Psychiatry 251 W State Road 198 Ste 3 Salem UT 84653-5608 Ph: (801) 504-6665 | Life Tree Psychiatry 251 W State Road 198 Ste 3 Salem UT 84653-5608 Ph: (801) 504-6665 |
| NPI Number | 1982135265 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 5496031767 |
|---|---|
| Medicare Enrollment ID | O20170421000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982135265 | NPI | - | NPPES |
| 2019033956 | Other | ANCC PMHNP BOARD CERTIFICATION |
| Provider Name | Josh T Hooton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306272471 PECOS PAC ID: 2163651522 Enrollment ID: I20140729001434 |
Nutcracker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 West Hwy 198, Salem, UT 84653 Phone: 801-423-3267 Fax: 801-423-3276 | |
Therapy Transformed Mlg Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Ut-198, Suite 3, Salem, UT 84653 Phone: 801-899-3558 | |
Kids Who Count Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 N State Road 198, Salem, UT 84653 Phone: 801-423-3000 Fax: 801-423-3844 | |
Best Life Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 245 Highway 198 Ste 5, Salem, UT 84653 Phone: 385-208-7701 |