Lakeside Billing Services

NPI #1033505011 in Highland, Utah

Provider Information

NPI Number
1033505011
Entity Type
Organization
Organization Name
Lakeside Billing Services
Subpart
Yes (part of a larger organization)
Parent Organization
ILLUME CENTER
Primary Specialty
Counselor - Mental Health
Enumeration Date
Apr 7, 2015
Last Updated
Apr 7, 2015

Practice Location

Address
6280 W 9600 N
State
Utah
ZIP Code
84003-9234
Phone
(801) 703-7289

Authorized Official

Name
JOHANNA SALTER
Title
OWNER
Phone
(801) 755-4694

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Psychologist - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Family Medicine - Addiction MedicineAddiction Medicine
Psychiatric Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Counselor - Mental HealthMental Health

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