Lisa Amaya

Individual provider Active NPI Community/Behavioral Health Agency · SLC, UT

NPI 1285159707 · NPPES record last updated Aug 4, 2017

Key facts

NPI
1285159707
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
344 E 100 S Ste 301
SLC, UT 84111-1727
Phone
(801) 322-4257
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

344 E 100 S Ste 301
SLC, UT 84111-1727

Mailing address

344 E 100 S
Salt Lake City, UT 84111-1700

Other providers in SLC, UT

All providers in SLC, UT · Community/Behavioral Health Agency in Utah

Sources for this page

Verify at the official NPI Registry.