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

Deer Hollow Lakeside LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1487160875

Deer Hollow Lakeside LLC is a Substance Abuse Rehabilitation Facility in Brighton, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7904 S Nordic Trail Ln
Brighton, UT 84121-1000
Phone: (801) 679-6669
Fax: (801) 203-9216
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 51884 (UT)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 53992 (UT)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 53972 (UT)

Record details

NPI number1487160875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Romano — Director Of Financial Operations · (801) 759-1734
NPI enumeratedDecember 20, 2017
Last updated in NPPESFebruary 23, 2018
Mailing addressPo Box 1078, Draper, UT 84020-1078

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