| Pinebrook Mental Health Therapy | |
|
3100 Pinebrook Rd Ste 1250b Park City UT 84098-5663 | |
| (435) 562-1903 | |
| Not Available |
| Full Name | Pinebrook Mental Health Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3100 Pinebrook Rd Ste 1250b, Park City, Utah |
| Authorized Official Name and Position | Jacqueline Hyde (CEO) |
| Authorized Official Contact | 4355621903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinebrook Mental Health Therapy 3100 Pinebrook Rd Ste 1250b Park City UT 84098-5663 Ph: (435) 562-1903 | Pinebrook Mental Health Therapy 3100 Pinebrook Rd Ste 1250b Park City UT 84098-5663 Ph: (435) 562-1903 |
| NPI Number | 1659192425 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659192425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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