Organization
REGAN HAIGHT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN HAIGHT APRN, PMHNP (OWNER)
(801) 701-1006
Entity
Organization
Contact information
Practice address
12569 S 2700 W STE 202, RIVERTON, UT 84065-7191
(801) 712-1623
(801) 701-1009
Mailing address
12569 S 2700 W STE 202, RIVERTON, UT 84065-7191
(801) 712-1623
(801) 701-1009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
376041-4405
UT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
376041-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356679641
—
UT
Enumeration date
12/29/2017
Last updated
01/18/2019
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