| Simple Modern Therapy, Pllc | |
|
1104 E Ashton Ave 212 Salt Lake City UT 84106-4504 | |
| (435) 730-2973 | |
| Not Available |
| Full Name | Simple Modern Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1104 E Ashton Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Heather Holmgren (OWNER) |
| Authorized Official Contact | 4357302973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Modern Therapy, Pllc 835 E 600 S Salt Lake City UT 84102-2908 Ph: () - | Simple Modern Therapy, Pllc 1104 E Ashton Ave 212 Salt Lake City UT 84106-4504 Ph: (435) 730-2973 |
| NPI Number | 1821411133 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821411133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 67841063902 (Utah) | Primary |
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