Unconventional Llc

LBN: Unconventional Llc
Unconventional Llc is an health care organization with primary practice located at 2901 W Blue Grass Blvd Ste 200 , Lehi UT 84043-4190. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Unconventional Llc can be contacted via phone (435) 557-4355, or through Tamashiro, Martie via phone (801) 857-0102.

Contact Information

Primary practice address
2901 W Blue Grass Blvd Ste 200 Lehi UT 84043-4190
Phone: (435) 557-4355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tamashiro, Martie MA, CMHC
Phone: (801) 857-0102

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1639820285
LBN Legal business name Unconventional Llc
DBA Doing business as
Authorized official Tamashiro, Martie MA, CMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2022
Last updated Jan 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers