| Mountain Ridge Behavioral Health Center | |
|
704 S 1600 W Ste 104 Mapleton UT 84664-4462 | |
| (801) 491-6394 | |
| (801) 491-6613 |
| Full Name | Mountain Ridge Behavioral Health Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 704 S 1600 W Ste 104, Mapleton, Utah |
| Authorized Official Name and Position | Summer Simmons (PRACTICE MANAGER) |
| Authorized Official Contact | 3854823688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Ridge Behavioral Health Center 704 S 1600 W Ste 104 Mapleton UT 84664-4462 Ph: (801) 491-6394 | Mountain Ridge Behavioral Health Center 704 S 1600 W Ste 104 Mapleton UT 84664-4462 Ph: (801) 491-6394 |
| NPI Number | 1902626153 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902626153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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