Organization
INTERMOUNTAIN MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS N. LEWIS JR. PHD (PRESIDENT)
(801) 673-4841
Entity
Organization
Contact information
Practice address
5012 S TIMBER WAY UNIT 206, MILLCREEK, UT 84117-5875
(801) 673-4841
Mailing address
PO BOX 57885, MURRAY, UT 84157-0885
(801) 673-4841
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2774677-2501
UT
Other
Enumeration date
12/06/2007
Last updated
01/22/2021
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