Provider Demographics
NPI:1891560041
Name:UNITY MENTAL HEALTH CARE COMPANY LLC
Entity Type:Organization
Organization Name:UNITY MENTAL HEALTH CARE COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-860-6208
Mailing Address - Street 1:10455 S 1440 W
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4528
Mailing Address - Country:US
Mailing Address - Phone:801-332-9031
Mailing Address - Fax:
Practice Address - Street 1:552 N MAIN ST RM B
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1442
Practice Address - Country:US
Practice Address - Phone:801-332-9031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty