Provider Demographics
NPI:1508117458
Name:BEST, LANETTE ROSE (CMHC)
Entity Type:Individual
Prefix:MS
First Name:LANETTE
Middle Name:ROSE
Last Name:BEST
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 S RED BUR CT
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-2165
Mailing Address - Country:US
Mailing Address - Phone:801-349-0006
Mailing Address - Fax:801-975-6545
Practice Address - Street 1:2413 S RED BUR CT
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-2165
Practice Address - Country:US
Practice Address - Phone:801-349-0006
Practice Address - Fax:801-975-6545
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5189965-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health