| Willow Pines Therapeutic Services LLC | |
|
537 W 2600 S Ste 200 Bountiful UT 84010-7780 | |
| (801) 663-8575 | |
| Not Available |
| Full Name | Willow Pines Therapeutic Services LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 537 W 2600 S Ste 200, Bountiful, Utah |
| Authorized Official Name and Position | Erik Jenkins (OWNER) |
| Authorized Official Contact | 8016638575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Pines Therapeutic Services LLC 124 W Wendell Way Farmington UT 84025-5084 Ph: (801) 663-8575 | Willow Pines Therapeutic Services LLC 537 W 2600 S Ste 200 Bountiful UT 84010-7780 Ph: (801) 663-8575 |
| NPI Number | 1366301079 |
|---|---|
| Provider Enumeration Date | 01/19/2026 |
| Last Update Date | 01/19/2026 |
| Certification Date | 01/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366301079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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