CRYSTAL TINA MARIE AMEZQUITA


Address: 1141 E 3900 S Ste A150, Salt Lake City, UT 84124-1215
Phone: 8889494864

CRYSTAL TINA MARIE AMEZQUITA (NPI# 1891274429) 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) 1891274429
Entity Type Individual
Full Name CRYSTAL TINA MARIE AMEZQUITA
Practice Address 1141 E 3900 S Ste A150
Salt Lake City
UT 84124-1215
Mailing Address 4460 S Highland Dr
Salt Lake City
UT 84124-3543
Practice Telephone 8889494864
Enumeration Date 2018-08-14
Last Update Date 2018-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1141 E 3900 S STE A150
City SALT LAKE CITY
State UT
Zip Code 84124-1215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
Find all providers in zip 84124

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639789464 Enduring Connections Counseling Services LLC Community/Behavioral Health 4659 S Highland Dr, Salt Lake City, UT 84117-5137 2020-08-06
1033733001 Jessica Jo Pllc Community/Behavioral Health 3527 S 1200 E, Salt Lake City, UT 84106-2425 2020-06-04
1467071407 Cancer Wellness House, Inc. Community/Behavioral Health 59 S 1100 E, Salt Lake City, UT 84102-1508 2020-04-09
1942859707 Madre Tierra Counseling & Consulting LLC Community/Behavioral Health 3763 S Secord St, Salt Lake City, UT 84115-4771 2019-09-05
1295389708 Peaceful Solutions Counseling LLC Community/Behavioral Health 1399 S 700 E Ste 5, Salt Lake City, UT 84105-2161 2019-08-01
1689139198 Mmtc Community/Behavioral Health 1411 W 1100 N, Salt Lake City, UT 84116-1634 2019-02-08
1558840611 Noble Soul Therapy Community/Behavioral Health 699 E South Temple # 300a, Salt Lake City, UT 84102-1142 2018-08-09
1932631116 Mattison Therapeutic Consulting and Counseling Community/Behavioral Health 667 E Redondo Ave, Salt Lake City, UT 84105-3028 2017-03-28
1396281218 Pat Brehl Lcsw LLC Community/Behavioral Health 439 E 900 S, Salt Lake City, UT 84111-4303 2017-01-17
1396280509 Rjr Consultants LLC Community/Behavioral Health 169 E Edith Ave, Salt Lake City, UT 84111-4502 2016-12-23
Find all providers in SALT LAKE CITY

Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84124

Improve Information

Please comment or provide details below to improve the information on CRYSTAL TINA MARIE AMEZQUITA.

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.

Trending Searches