Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Willow Psychiatry

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1366397697

Blue Willow Psychiatry is a Mental Health Clinic/Center (Including Community Mental Health Center) in Tooele, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

40A S Main St
Tooele, UT 84074-2132
Phone: (435) 200-3430
Fax: (855) 450-1174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1366397697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Lawrence — Owner · (435) 200-3430
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address67 N Center St, Grantsville, UT 84029-9605

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