Provider Demographics
NPI:1417488040
Name:RIVERWOODS BEHAVIORAL HEALTH PC
Entity Type:Organization
Organization Name:RIVERWOODS BEHAVIORAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE BILLIING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOYME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-367-8076
Mailing Address - Street 1:PO BOX 970392
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-0392
Mailing Address - Country:US
Mailing Address - Phone:801-367-8076
Mailing Address - Fax:
Practice Address - Street 1:5314 RIVER RUN DR STE 350
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7708
Practice Address - Country:US
Practice Address - Phone:801-787-9855
Practice Address - Fax:801-228-1756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty