Provider Demographics
NPI:1437022423
Name:VALIANT PSYCHIATRY PLLC
Entity type:Organization
Organization Name:VALIANT PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:385-215-0647
Mailing Address - Street 1:2079 W NATALIE AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9636
Mailing Address - Country:US
Mailing Address - Phone:385-215-0647
Mailing Address - Fax:
Practice Address - Street 1:2079 W NATALIE AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9636
Practice Address - Country:US
Practice Address - Phone:801-252-6044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health