Organization
BEAVER CREEK MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY COX CMHC (OWNER)
(435) 215-1775
Entity
Organization
Contact information
Practice address
851 N MAIN ST, LOGAN, UT 84321-3228
(435) 215-1775
Mailing address
97 N MAIN ST, PROVIDENCE, UT 84332-9601
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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