| Acuity Mental Health Services Llc | |
|
6120 S Lindsay Lane Holladay UT 84121 | |
| (801) 252-5899 | |
| Not Available |
| Full Name | Acuity Mental Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6120 S Lindsay Lane, Holladay, Utah |
| Authorized Official Name and Position | Chad Fullmer (OWNER) |
| Authorized Official Contact | 8012525899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acuity Mental Health Services Llc 6120 S Lindsay Lane Holladay UT 84121 Ph: (801) 252-5899 | Acuity Mental Health Services Llc 6120 S Lindsay Lane Holladay UT 84121 Ph: (801) 252-5899 |
| NPI Number | 1871390252 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 7719401140 |
|---|---|
| Medicare Enrollment ID | O20250408000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871390252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Natalie Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558680074 PECOS PAC ID: 7113141003 Enrollment ID: I20140616001637 |
| Provider Name | Shannon Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497216493 PECOS PAC ID: 1153757877 Enrollment ID: I20200128002654 |
| Provider Name | Richard Percifield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427528488 PECOS PAC ID: 9133645781 Enrollment ID: I20250428002049 |
| Provider Name | Tamatha Lee Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659658003 PECOS PAC ID: 7618494154 Enrollment ID: I20250507003189 |
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