Organization
BLUE WILLOW PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LYNN LAWRENCE (OWNER)
(435) 200-3430
Entity
Organization
Contact information
Practice address
40A S MAIN ST, TOOELE, UT 84074-2132
(435) 200-3430
(855) 450-1174
Mailing address
67 N CENTER ST, GRANTSVILLE, UT 84029-9605
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/10/2026
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