Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Other names
CHILDREN'S OUTPATIENT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA FALVO MHCA/RN (EXECUTIVE DIRECTOR)
(801) 253-7100
Entity
Organization
Contact information
Practice address
1141 E 3900 S, SUITE A170, SALT LAKE CITY, UT 84124-1215
(801) 284-4990
(801) 284-4991
Mailing address
5965 S 900 E, SUITE 240, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
(801) 263-7123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
UT
103TC0700X
Clinical Psychologist
—
UT
104100000X
Social Worker
—
UT
1041C0700X
Clinical Social Worker
—
UT
106H00000X
Marriage & Family Therapist
—
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
UT
2084P0800X
Psychiatry Physician
Primary
—
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2423
PEHP
UT
Enumeration date
04/26/2006
Last updated
08/25/2011
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