SearchUtah101YM0800X

Derriek Blackwell, CSW

NPI 1770339756 · on the registry since 2024

Practice

Address
5663 S Redwood Rd
Suite 2, Office 10
Taylorsville, UT 84123
Phone
(801) 742-5851
Organisation at this address
Manaaki Mental Health
Mana Mental Health Llc
Imagine Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah