NPIMap

Organization Active NPI

Borage Wellness Center LLC

  • Clinical Social Worker
  • West Haven, UT
National Provider Identifier
1316638117
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BORAGE WELLNESS CENTER LLC
Practice address
4646 S 3500 W Ste 2
West Haven, UT 84401-9405
Phone
(801) 719-9410
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abree MizeNPI 1083328975
Title
Owner
Phone
(801) 719-9410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4646 S 3500 W Ste 2
West Haven, UT 84401-9405

Mailing address

3490 W 3300 S
West Haven, UT 84401-9232
Phone (801) 719-9410

National Provider Directory

National Provider Directory

Locations

5125 S 1500 W
Riverdale, UT 84405
Phone (801) 719-9410

4646 S 3500 W
Ste 2
West Haven, UT 84401
Phone (801) 719-9410

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1316638117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 W 3300 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019232",
            "telephone_number": "801-719-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 S 3500 W STE 2",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019405",
            "telephone_number": "801-719-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORAGE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "ABREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-719-9410"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.