| The Interpersonal Therapy Clinic, Pllc | |
|
6936 S Promenade Dr Ste 301 Cottonwood Heights UT 84121-3386 | |
| (385) 743-2226 | |
| Not Available |
| Full Name | The Interpersonal Therapy Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6936 S Promenade Dr Ste 301, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Stacy Gibbons (OWNER) |
| Authorized Official Contact | 8018701598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Interpersonal Therapy Clinic, Pllc 6936 S Promenade Dr Ste 301 Cottonwood Heights UT 84121-3386 Ph: () - | The Interpersonal Therapy Clinic, Pllc 6936 S Promenade Dr Ste 301 Cottonwood Heights UT 84121-3386 Ph: (385) 743-2226 |
| NPI Number | 1609684232 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609684232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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