Bonsai Therapy LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Vineyard, UT
NPI 1801710017 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1801710017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BONSAI THERAPY LLC
- Practice address
- 100 S Geneva Rd Unit B206
Vineyard, UT 84059-5375 - Phone
- (435) 592-4932
- NPI assigned
- Aug 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Brynlee Shults, LCSW
- Title
- Owner
- Phone
- (435) 592-4932
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
100 S Geneva Rd Unit B206
Vineyard, UT 84059-5375
Mailing address
100 S Geneva Rd Unit B206
Vineyard, UT 84059-5375
Other providers in Vineyard, UT
- Back at Work of Utah LLC
- Badger Management LLC
- Badger Management LLC
- Chayla Helen Bigler
- Blackbloom LLC
- Matias A Calquin
- Amanda Graves Cannon
- Lia Ana Chebeleu
- Jordan Collins
- Devyn Arlie Darrohn
All providers in Vineyard, UT · Mental Health Clinic/Center (Including Community Mental Health Center) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. 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.