Organization
COPPER HEIGHTS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HOOTON FNP-C (MANAGER/OWNER)
(801) 404-9893
Entity
Organization
Contact information
Practice address
754 S 400 E STE 201, OREM, UT 84097-6344
(801) 404-9893
Mailing address
754 S 400 E STE 201, OREM, UT 84097-6344
(801) 404-9893
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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