| Mountain Valley Integrative Services | |
|
6621 W Wide Hollow Dr Herriman UT 84096-3550 | |
| (949) 688-3903 | |
| Not Available |
| Full Name | Mountain Valley Integrative Services |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 6621 W Wide Hollow Dr, Herriman, Utah |
| Authorized Official Name and Position | Chelcie Adam (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9496883903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Integrative Services 6621 W Wide Hollow Dr Herriman UT 84096-3550 Ph: () - | Mountain Valley Integrative Services 6621 W Wide Hollow Dr Herriman UT 84096-3550 Ph: (949) 688-3903 |
| NPI Number | 1538753025 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538753025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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