Organization
VIDA UTAH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE E. BARRERA LCSW (CLINICAL DIRECTOR)
(385) 247-8387
Entity
Organization
Contact information
Practice address
8813 S REDWOOD RD STE B1, WEST JORDAN, UT 84088-9272
(385) 439-9823
Mailing address
8813 S REDWOOD RD STE B1, WEST JORDAN, UT 84088-9272
(385) 439-9823
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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