# PEREGRINE MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184533978
- **Authorized official:** CHARELLE HAGEN LCSW (CLINICAL THERAPIST)
- **Authorized official phone:** (801) 769-6219

## Contact information

- **Practice address:** 526 W CENTER ST STE N102, PLEASANT GROVE, UT 84062-3360
- **Practice address phone:** (801) 769-6219
- **Mailing address:** 10375 N BRISTLECONE WAY, CEDAR HILLS, UT 84062-8540
- **Mailing address phone:** (801) 769-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2026
- **Last updated:** 09/05/2026