Provider Demographics
NPI:1356231237
Name:UTAH ASSOCIATION OF PEER SUPPORT SPECIALISTS
Entity type:Organization
Organization Name:UTAH ASSOCIATION OF PEER SUPPORT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-638-2823
Mailing Address - Street 1:3269 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-3767
Mailing Address - Country:US
Mailing Address - Phone:801-638-2823
Mailing Address - Fax:
Practice Address - Street 1:3269 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84115-3767
Practice Address - Country:US
Practice Address - Phone:801-638-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management