| Spark Behavioral Health And Tms Llc | |
|
167 N 400 W # A3 Orem UT 84057-1909 | |
| (801) 900-4670 | |
| (801) 996-7123 |
| Full Name | Spark Behavioral Health And Tms Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 167 N 400 W # A3, Orem, Utah |
| Authorized Official Name and Position | Britney Marie Palombo (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8019004670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Behavioral Health And Tms Llc 110 S Main St Pleasant Grove UT 84062-2631 Ph: (801) 900-4670 | Spark Behavioral Health And Tms Llc 167 N 400 W # A3 Orem UT 84057-1909 Ph: (801) 900-4670 |
| NPI Number | 1295387355 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295387355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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