| 3lines Llc | |
|
1240b E Stringham Ave # 1013 Salt Lake City UT 84106-2490 | |
| (801) 410-0171 | |
| Not Available |
| Full Name | 3lines Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1240b E Stringham Ave # 1013, Salt Lake City, Utah |
| Authorized Official Name and Position | Nicco Allen (COUNSELOR/OWNER) |
| Authorized Official Contact | 8014100171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3lines Llc 1240b E Stringham Ave # 1013 Salt Lake City UT 84106-2490 Ph: (801) 410-0171 | 3lines Llc 1240b E Stringham Ave # 1013 Salt Lake City UT 84106-2490 Ph: (801) 410-0171 |
| NPI Number | 1699544668 |
|---|---|
| Provider Enumeration Date | 01/01/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699544668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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