# VALLEY MENTAL HEALTH INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CBTU/PINGREE SCHOOL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154387678
- **Authorized official:** JARED SANFORD (PRESIDENT & CEO)
- **Authorized official phone:** (360) 949-9588

## Contact information

- **Practice address:** 780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
- **Practice address phone:** (801) 581-0194
- **Mailing address:** PO BOX 572070, SALT LAKE CITY, UT 84157-2070
- **Mailing address phone:** (801) 263-7100
- **Mailing address fax:** (801) 263-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | UT | — |
| 103TC0700X | Clinical Psychologist | — | UT | — |
| 1041C0700X | Clinical Social Worker | — | UT | — |
| 106H00000X | Marriage & Family Therapist | — | UT | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | UT | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | UT | Yes |
| 2355S0801X | Speech-Language Assistant | — | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | UT | — |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 12/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2423 | PEHP | UT |