Organization · Type 2 NPI

Blue Willow Psychiatry

Mental Health Clinic/Center (Including Community Mental Health Center) · Tooele, UT

NPI number 1366397697 Active

Practice location

1102 W 60 S Ste 6
Tooele, UT 84074-2881

Fax (855) 450-1174

Mailing address

67 N Center St
Grantsville, UT 84029-9605

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

6 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Tooele

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About NPI 1366397697

Blue Willow Psychiatry's National Provider Identifier is 1366397697, issued on Mar 2, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tooele, UT. The record was last updated on Oct 12, 2026.