Provider Demographics
NPI:1326778911
Name:FFP MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:FFP MENTAL HEALTH LLC
Other - Org Name:FAMILIES FIRST COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE MGR/CREDENTIALING SP.
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, CPEDC, CPCO
Authorized Official - Phone:801-254-9700
Mailing Address - Street 1:PO BOX 95868
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-0868
Mailing Address - Country:US
Mailing Address - Phone:801-254-9700
Mailing Address - Fax:
Practice Address - Street 1:1268 W SOUTH JORDAN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-4653
Practice Address - Country:US
Practice Address - Phone:801-515-5850
Practice Address - Fax:801-254-9755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILIES FIRST PEDIATRICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-15
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty