Provider Demographics
NPI:1811332976
Name:BRIO MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:BRIO MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-646-5566
Mailing Address - Street 1:62 N GRANT AVE
Mailing Address - Street 2:100
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1728
Mailing Address - Country:US
Mailing Address - Phone:801-649-5566
Mailing Address - Fax:801-649-5966
Practice Address - Street 1:62 N GRANT AVE
Practice Address - Street 2:100
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-1728
Practice Address - Country:US
Practice Address - Phone:801-649-5566
Practice Address - Fax:801-649-5966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5583253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care