Provider Demographics
NPI:1417646266
Name:HEALTH-AWARE, LLC
Entity Type:Organization
Organization Name:HEALTH-AWARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEZZANT
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:208-970-9087
Mailing Address - Street 1:1086 E HIGHWAY 193 STE 102
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-8573
Mailing Address - Country:US
Mailing Address - Phone:208-970-9087
Mailing Address - Fax:
Practice Address - Street 1:1086 E HIGHWAY 193 STE 102
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-8573
Practice Address - Country:US
Practice Address - Phone:208-970-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty