NPI 1225648199
Soulegria LLC
Practice location
- Address
- 11 S Main St, Hurricane, UT 84737-1949
- Phone
- (800) 792-0435
- Fax
- (877) 698-4968
Authorised official
- Name
- Tyler Olsen
- Title
- Executive Director
- Phone
- (801) 285-6100
Registered specialties (2)
Adult Mental Health Clinic/Center
Primary
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1225648199
- Entity type
- Organization
- NPI issued
- 5 Aug 2020
- Record last updated
- 12 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.