Reen Sheeva Aboutaleb
Individual provider Active NPI Case Manager/Care Coordinator · Salt Lake City, UT
NPI 1780120535 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1780120535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4460 S Highland Dr
Suite 230
Salt Lake City, UT 84124-3543 - Phone
- (888) 949-4864
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4460 S Highland Dr
Suite 230
Salt Lake City, UT 84124-3543
Mailing address
4460 S Highland Dr
Suite 230
Salt Lake City, UT 84124-3543
Phone (888) 949-4864
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- Asia Abraham
- Devaprabu Abraham
- Josephine D. Abraham
- Aleksandra A. Abrahamowicz
All providers in Salt Lake City, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.