Hickman Mental Health
Clinic/Center, Mental Health (Including Community Mental Health Center) in Hyde Park, UT. Organization (NPI-2).
NPI number1134073752
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1134073752
- Entity type
- Organization (NPI-2)
- Legal business name
- Hickman Mental Health
- Organization subpart
- No
- Enumeration date
- Feb 23, 2026
- Certification date
- Feb 21, 2026
- Last updated
- Feb 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
338 W 300 N Ste 6Hyde Park, UT 84318-4044
Phone 435-241-7105
Mailing address
338 W 300 N Ste 6Hyde Park, UT 84318-4044
Phone 435-241-7105
Authorized official
Kyle Elmo Hickman
Owner
4352417105
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