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Organization

SL-CENTER OF REVITALIZING PSYCHIATRY LLC

Active
Other names
Center of Revitalizing Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
ALINA NAGDIMUNOV (CO-OWNER/CEO)
(215) 605-7469
Entity
Organization

Contact information

Practice address
1935 E VINE ST STE 170, MURRAY, UT 84121-2197
(801) 639-9833
(801) 639-9833
Mailing address
9814 S CHYLENE DR STE 220, SANDY, UT 84092-3557
(215) 605-7469

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/16/2025
Last updated
02/09/2026
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