Basis Psychiatry PLLC
Nurse Practitioner, Psych/Mental Health in St George, UT. Organization (NPI-2).
NPI number1033708086
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1033708086
- Entity type
- Organization (NPI-2)
- Legal business name
- Basis Psychiatry PLLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
4617 S Pioneer Rd Ste 101St George, UT 84790-5156
Phone 435-429-0948
Mailing address
4617 S Pioneer Rd Ste 101St George, UT 84790-5156
Authorized official
Brandon Healy
Member/Owner
4354290948
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