OrganizationActive
Blue Willow Psychiatry
NPI 1366397697 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tooele, UT
Provider details
- NPI number
- 1366397697
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Kristi Lawrence, Owner
Practice location
40a S Main St
Tooele, UT 84074-2132
Phone: (435) 200-3430
Fax: (855) 450-1174
Mailing address
67 N Center St
Grantsville, UT 84029-9605
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.