| Creating Change | |
|
3098 Highland Dr Ste 369 Salt Lake City UT 84106-6007 | |
| (801) 671-1315 | |
| Not Available |
| Full Name | Creating Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3098 Highland Dr Ste 369, Salt Lake City, Utah |
| Authorized Official Name and Position | Kathleen Parker (THERAPIST) |
| Authorized Official Contact | 8016711315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Change Po Box 1503 Sandy UT 84091-1503 Ph: (801) 671-1315 | Creating Change 3098 Highland Dr Ste 369 Salt Lake City UT 84106-6007 Ph: (801) 671-1315 |
| NPI Number | 1447564547 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447564547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 68850903501 (Utah) | Primary |
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