| Awakening Behavioral Health, Llc | |
|
9160 S 300 W Ste 3 Sandy UT 84070-2656 | |
| (801) 545-0406 | |
| Not Available |
| Full Name | Awakening Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 9160 S 300 W Ste 3, Sandy, Utah |
| Authorized Official Name and Position | Kerrylynn Baca-pelphrey (CCO, EXEC DIR PAYOR RELATIONS) |
| Authorized Official Contact | 8016589646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Behavioral Health, Llc 2973 W 13800 S Bluffdale UT 84065 Ph: () - | Awakening Behavioral Health, Llc 9160 S 300 W Ste 3 Sandy UT 84070-2656 Ph: (801) 545-0406 |
| NPI Number | 1962947101 |
|---|---|
| Provider Enumeration Date | 12/26/2016 |
| Last Update Date | 11/27/2023 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962947101 | NPI | - | NPPES |
| 54650 | Other | UT | STATE OF UTAH HUMAN SERVICES |
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