| Salt Lake Therapy, Pllc | |
|
370 E South Temple Ste 240 Salt Lake City UT 84111-1262 | |
| (801) 669-2055 | |
| Not Available |
| Full Name | Salt Lake Therapy, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 370 E South Temple Ste 240, Salt Lake City, Utah |
| Authorized Official Name and Position | Joellyn Orcutt Manville (OWNER) |
| Authorized Official Contact | 8016692055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Therapy, Pllc 370 E South Temple Ste 240 Salt Lake City UT 84111-1262 Ph: (801) 669-2055 | Salt Lake Therapy, Pllc 370 E South Temple Ste 240 Salt Lake City UT 84111-1262 Ph: (801) 669-2055 |
| NPI Number | 1093594830 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093594830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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