OrganizationActive
Ebtsl Psychiatry, PLLC
NPI 1275369563 · Child & Adolescent Psychiatry Physician · Holladay, UT
Provider details
- NPI number
- 1275369563
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Evidence Based Treatment Centers of Seattle, PLLC
- Organization subpart
- Yes
- Authorized official
- Adrienne Bennett, Clinic Coordinator(425) 361-9272
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2225 E Murray Holladay Rd Ste 116
Holladay, UT 84117-5382
Phone: (877) 919-4521
Approximate (ZIP-level) locationGet directions
Mailing address
2225 E Murray Holladay Rd Ste 116
Holladay, UT 84117-5382
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.