Modern Intervention Learning Academy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Layton, UT. Organization (NPI-2).
NPI number1942123716
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1942123716
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Intervention Learning Academy
- Organization subpart
- No
- Enumeration date
- Jul 30, 2026
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
715 N 3200 WLayton, UT 84041-8702
Phone 801-473-7103
Mailing address
715 N 3200 WLayton, UT 84041-8702
Authorized official
Brooklyn Shumway
Owner
8014737103
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All 8 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Layton · All 3,481 providers in Layton
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