Provider Demographics
NPI:1790043867
Name:PSYCHIATRIC & BEHAVIORAL SOLUTIONS, L.L.C.
Entity Type:Organization
Organization Name:PSYCHIATRIC & BEHAVIORAL SOLUTIONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STEANS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:801-467-1200
Mailing Address - Street 1:1522 SOUTH 1100 EAST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105
Mailing Address - Country:US
Mailing Address - Phone:801-467-1200
Mailing Address - Fax:801-467-1210
Practice Address - Street 1:1522 SOUTH 1100 EAST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105
Practice Address - Country:US
Practice Address - Phone:801-467-1200
Practice Address - Fax:801-467-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTC 7-467533-0251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health