BARBARA SUE BALLIETTE


Address: 2319 Foothill Dr, Suite 275c, Salt Lake City, UT 84109-1489
Phone: 8014671496

BARBARA SUE BALLIETTE (NPI# 1205895042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205895042
Entity Type Individual
Full Name BARBARA SUE BALLIETTE
Other Name BARBARA BALLIETTE
Practice Address 2319 Foothill Dr
Suite 275c
Salt Lake City
UT 84109-1489
Practice Telephone 8014671496
Practice Fax Number 8014671496
Mailing Telephone 8014671496
Mailing Fax Number 8014671496
Enumeration Date 2006-03-21
Last Update Date 2010-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
5075697-6004 UT Behavioral Health & Social Service Providers

Office Location

Street Address 2319 FOOTHILL DR
SUITE 275C
City SALT LAKE CITY
State UT
Zip Code 84109-1489

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790836393 Kent Taylor Anderson Social Worker 2319 Foothill Dr, Suite 240, Salt Lake City, UT 84109-1489 2007-01-12
1114075231 Linda Butterfield Nielson Social Worker 2319 Foothill Dr, Suite 275, Salt Lake City, UT 84109-1489 2007-01-08
1942391925 Janice D Nelson Psychologist 2319 Foothill Dr, Ste. 275, Salt Lake City, UT 84109-1489 2006-09-27

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SALT LAKE CITY
Zip Code 84109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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