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Organization

PROJECT CONNECTION UTAH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LENNIE KNOWLTON CMHC (CHIEF EXECUTIVE OFFICER)
(801) 633-6933
Entity
Organization

Contact information

Practice address
2655 S LAKE ERIE DR STE B, WEST VALLEY CITY, UT 84120-7351
(385) 441-4900
Mailing address
2655 S LAKE ERIE DR STE B, WEST VALLEY CITY, UT 84120-7351
(385) 441-4900

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
385H00000X
Respite Care

Other

Enumeration date
06/25/2025
Last updated
06/25/2025
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