| Mount Olympus Counseling Center, Inc. | |
|
4525 S 2300 E Ste 102 Holladay UT 84117-4682 | |
| (801) 860-7818 | |
| Not Available |
| Full Name | Mount Olympus Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4525 S 2300 E Ste 102, Holladay, Utah |
| Authorized Official Name and Position | Kenneth David Roach (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8017927028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Olympus Counseling Center, Inc. 4525 S 2300 E Ste 102 Holladay UT 84117-4682 Ph: (801) 860-7818 | Mount Olympus Counseling Center, Inc. 4525 S 2300 E Ste 102 Holladay UT 84117-4682 Ph: (801) 860-7818 |
| NPI Number | 1053910331 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053910331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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