Organization
WELLBRIDGE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIS LEEPER DNP, APRN, PMHNP-BC (PARTNER)
(801) 609-4561
Entity
Organization
Contact information
Practice address
247 E 930 S, OREM, UT 84058-5001
(801) 609-4561
(801) 797-0254
Mailing address
247 E 930 S, OREM, UT 84058-5001
(801) 609-4561
(801) 797-0254
Taxonomy
Speciality
Code
Description
License number
State
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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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