| Center For Healing Therapies | |
|
699 N. S. Temple Suite 201 G Salt Lake City UT 84102-4252 | |
| (801) 451-8797 | |
| Not Available |
| Full Name | Center For Healing Therapies |
|---|---|
| Speciality | Clinic/Center |
| Location | 699 N. S. Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Holly Grayson (FOUNDER) |
| Authorized Official Contact | 8014518797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healing Therapies 699 E South Temple Ste 201g Salt Lake City UT 84102-4252 Ph: (801) 257-8910 | Center For Healing Therapies 699 N. S. Temple Suite 201 G Salt Lake City UT 84102-4252 Ph: (801) 451-8797 |
| NPI Number | 1790269892 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 03/25/2019 |
| Medicare PECOS PAC ID | 7810233459 |
|---|---|
| Medicare Enrollment ID | O20190117003795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790269892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Holly Irene Grayson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992068886 PECOS PAC ID: 4385869726 Enrollment ID: I20140707000082 |
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