| Child & Family Empowerment Services, Llc | |
|
1578 W 1700 S Suite #200 Salt Lake City UT 84104-3470 | |
| (801) 972-2711 | |
| (801) 972-2709 |
| Full Name | Child & Family Empowerment Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1578 W 1700 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Leilani Anne Taholo (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8019722711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Empowerment Services, Llc 1578 W 1700 S Suite #200 Salt Lake City UT 84104-3470 Ph: (801) 972-2711 | Child & Family Empowerment Services, Llc 1578 W 1700 S Suite #200 Salt Lake City UT 84104-3470 Ph: (801) 972-2711 |
| NPI Number | 1568424828 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568424828 | NPI | - | NPPES |
| 788007788049 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 136834-3501 (Utah) | Primary |
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