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HEAL SLC LLC
NPI 1699415604
Nurse Practitioner - Psychiatric/Mental Health in South Jordan, UT

Active since March 29, 2022
881 W BAXTER DR STE 100, SOUTH JORDAN, UT 84095(208) 261-2411 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heal Slc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAL SLC LLC (NPI 1699415604) is a healthcare organization registered as a psychiatric/mental health in South Jordan, Utah and active in the NPI registry since March 2022. The organization lists Elizabeth Lynn, Founder, as its authorized official.

NPPES Registry Identity

NPI1699415604
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEAL SLC LLC
Location Address881 W BAXTER DR STE 100South Jordan, UT 84095-8506
Mailing AddressPo Box 1173Post Falls, ID 83877-1173 · (208) 261-2411 · Fax (866) 291-4766
Phone(208) 261-2411
Organization SubpartNo
Authorized OfficialElizabeth LynnFounder · (208) 261-2411
Enumeration DateMarch 29, 2022
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1699415604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
881 W BAXTER DR STE 100, South Jordan, UT 84095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GISELLE IVETTE VAZQUEZ
Behavior Technician
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (877) 511-6823
DR. MELISSA ELLSWORTH PHD
Psychologist (Clinical)
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (801) 382-8702
KARI CARMAN
Developmental Therapist
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (888) 880-9270
MCKENZIE NIEBERGALL BCABA
Assistant Behavior Analyst
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (877) 565-7169
PAMELA MORRISON RDN, CSO
Dietitian, Registered
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (561) 542-6320
BUTTERFLY EFFECTS
Developmental Therapist
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (888) 880-9270
ADALYN GRACE GLADE
Behavior Technician
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (715) 375-2955
YVETTE LU
Behavior Analyst
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095
Salt Lake County (571) 765-3233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heal Slc LLC's NPI number?

The NPI number for Heal Slc LLC is 1699415604. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Heal Slc LLC located?

Heal Slc LLC is located at 881 W Baxter Dr Ste 100, South Jordan, UT 84095. The listed phone number is (208) 261-2411.

What is Heal Slc LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Heal Slc LLC was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.