OrganizationActive
Centered Behavioral Health & Wellness PLLC
NPI 1124839808 · Psychiatric/Mental Health Nurse Practitioner · Centerville, UT
Provider details
- NPI number
- 1124839808
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Spencer Lowe, Medical Director/Aprn(801) 867-5693
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
Practice location
576 Churchill Dr
Centerville, UT 84014-2614
Phone: (801) 867-5693
Approximate (ZIP-level) locationGet directions
Mailing address
576 Churchill Dr
Centerville, UT 84014-2614
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.