| Zendo Health Utah Llc | |
|
76 S 360 E American Fork UT 84003-2590 | |
| (800) 433-0262 | |
| (541) 780-6967 |
| Full Name | Zendo Health Utah Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 S 360 E, American Fork, Utah |
| Authorized Official Name and Position | Christopher Hyland (CEO) |
| Authorized Official Contact | 8019950959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zendo Health Utah Llc 76 S 360 E American Fork UT 84003-2590 Ph: (800) 433-0262 | Zendo Health Utah Llc 76 S 360 E American Fork UT 84003-2590 Ph: (800) 433-0262 |
| NPI Number | 1477379386 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Medicare PECOS PAC ID | 2668995788 |
|---|---|
| Medicare Enrollment ID | O20250331001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477379386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christopher Bezzant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780086660 PECOS PAC ID: 2163795303 Enrollment ID: I20240722001941 |
| Provider Name | Lorraine T. Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992389829 PECOS PAC ID: 2860915592 Enrollment ID: I20250402003310 |
| Provider Name | Jayde S Scroggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669088209 PECOS PAC ID: 5294251773 Enrollment ID: I20250428002837 |
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