| Bonsai Therapy LLC | |
|
100 S Geneva Rd Unit B206 Vineyard UT 84059-5375 | |
| (435) 592-4932 | |
| Not Available |
| Full Name | Bonsai Therapy LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 S Geneva Rd Unit B206, Vineyard, Utah |
| Authorized Official Name and Position | Brynlee Shults (OWNER) |
| Authorized Official Contact | 4355924932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonsai Therapy LLC 100 S Geneva Rd Unit B206 Vineyard UT 84059-5375 | Bonsai Therapy LLC 100 S Geneva Rd Unit B206 Vineyard UT 84059-5375 Ph: (435) 592-4932 |
| NPI Number | 1801710017 |
|---|---|
| Provider Enumeration Date | 08/10/2026 |
| Last Update Date | 08/10/2026 |
| Certification Date | 08/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801710017 | NPI | - | NPPES |
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