Organization
NEURVANA PSYCHIATRY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LYNNE BONHAM PMHNP-BC (OWNER)
(385) 329-7410
Entity
Organization
Contact information
Practice address
10655 S GRANDVILLE AVE UNIT 1325, SOUTH JORDAN, UT 84009-1854
(385) 329-7410
Mailing address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(385) 329-7410
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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