Organization
HIGH DESERT MENTAL HEALTH & WELLNESS
Active
Other names
Telehealth at High Desert Mental Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH WARNER MSN, CAS, PMHNP-BC (OWNER, CLINICAL PROVIDER)
(801) 251-6736
Entity
Organization
Contact information
Practice address
774 E 2100 S STE 424, SALT LAKE CITY, UT 84106-1863
(801) 251-6736
(949) 703-7340
Mailing address
774 E 2100 S STE 424, SALT LAKE CITY, UT 84106-1863
(801) 251-6736
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
08/31/2024
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