Organization
WESTERN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BACKMAN CMHC (OWNER)
(385) 313-0547
Entity
Organization
Contact information
Practice address
370 E SOUTH TEMPLE STE 550, SALT LAKE CITY, UT 84111-1237
(385) 313-0547
Mailing address
S1222 MATHISON LN, WESTBY, WI 54667-7266
(385) 313-0547
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
01/08/2024
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