| New Venture Therapy Pllc | |
|
1244 N Main St Ste 202 Tooele UT 84074-5009 | |
| (435) 775-0009 | |
| Not Available |
| Full Name | New Venture Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1244 N Main St Ste 202, Tooele, Utah |
| Authorized Official Name and Position | Amandamae Summers (OWNER/CLINICAL MENTAL HEALTH COUNSE) |
| Authorized Official Contact | 4357750009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Venture Therapy Pllc 1601 Colavito Way Tooele UT 84074-8979 Ph: (435) 775-0009 | New Venture Therapy Pllc 1244 N Main St Ste 202 Tooele UT 84074-5009 Ph: (435) 775-0009 |
| NPI Number | 1285441774 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285441774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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