# MOUNTAIN VALLEY INTEGRATIVE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progeny Psychiatric Group Utah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538753025
- **Authorized official:** CHELCIE ADAM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (949) 688-3903

## Contact information

- **Practice address:** 6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
- **Practice address phone:** (949) 688-3903
- **Mailing address:** 6621 W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 05/11/2021