Provider Demographics
NPI:1083469555
Name:BEN WEINHEIMER PLLC
Entity Type:Organization
Organization Name:BEN WEINHEIMER PLLC
Other - Org Name:INFINITY RAINBOW THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:OVIATT
Authorized Official - Last Name:WEINHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-396-7187
Mailing Address - Street 1:1275 E 820 N
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-2037
Mailing Address - Country:US
Mailing Address - Phone:801-396-7187
Mailing Address - Fax:
Practice Address - Street 1:3507 N UNIVERSITY AVE STE 375A
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4478
Practice Address - Country:US
Practice Address - Phone:801-396-7187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty