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BONNEVILLE MENTAL HEALTH, PLLC
NPI 1902236458
Clinic/Center - Rehabilitation, Substance Use Disorder in Tooele, UT

Active since November 20, 2013
134 W 1180 N STE 4, TOOELE, UT 84074(435) 228-4181 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonneville Mental Health, Pllc NPPES

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

BONNEVILLE MENTAL HEALTH, PLLC (NPI 1902236458) is a healthcare organization registered as a rehabilitation, substance use disorder in Tooele, Utah and active in the NPI registry since November 2013. The organization lists Nate Green, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1902236458
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBONNEVILLE MENTAL HEALTH, PLLC
Location Address134 W 1180 N STE 4Tooele, UT 84074-1483
Mailing Address134 W 1180 N Ste 4Tooele, UT 84074-1483 · (435) 228-4181
Phone(435) 228-4181
Organization SubpartNo
Authorized OfficialNate GreenDirector Of Operations · (435) 228-4181
Enumeration DateNovember 20, 2013
Last NPPES UpdateMay 10, 2016
✔ NPI 1902236458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in UT · 2903
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 2903 (UT)
134 W 1180 N STE 4, Tooele, UT 84074
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Other Providers at the Same Location NPPES 3

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

HAILEY EDMONSON SUDC
Counselor (Addiction (Substance Use Disorder))
134 W 1180 N STE 4
TOOELE, UT 84074
Tooele County (434) 241-7778
BONNEVILLE MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
134 W 1180 N STE 4
TOOELE, UT 84074
Tooele County (435) 248-0333
ALTERNATIVE CHOICES
Community/Behavioral Health
134 W 1180 N STE 4
TOOELE, UT 84074
Tooele County (435) 496-0248

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 Bonneville Mental Health, PLLC's NPI number?

The NPI number for Bonneville Mental Health, PLLC is 1902236458. It was assigned to this organization in the NPPES registry on November 20, 2013.

Where is Bonneville Mental Health, PLLC located?

Bonneville Mental Health, PLLC is located at 134 W 1180 N Ste 4, Tooele, UT 84074. The listed phone number is (435) 228-4181.

What is Bonneville Mental Health, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Bonneville Mental Health, PLLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.