Organization
MOUNTAIN WEST BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA R HEALEY APRN (CO-OWNER)
(801) 860-0625
Entity
Organization
Contact information
Practice address
3570 W 9000 S STE 140, WEST JORDAN, UT 84088-8839
(801) 860-0625
(385) 707-9221
Mailing address
3570 W 9000 S STE 140, WEST JORDAN, UT 84088-8839
(801) 860-0625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396148896
—
UT
Enumeration date
12/01/2020
Last updated
11/08/2023
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