| Trevor Therapy | |
|
4190 S Highland Dr Ste 211 Salt Lake City UT 84124-2675 | |
| (801) 210-0458 | |
| (801) 467-6522 |
| Full Name | Trevor Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4190 S Highland Dr Ste 211, Salt Lake City, Utah |
| Authorized Official Name and Position | Joseph Trevor Hardcastle (OWNER/CEO) |
| Authorized Official Contact | 8012100458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Therapy 4190 S Highland Dr Ste 211 Salt Lake City UT 84124-2675 Ph: (801) 210-0458 | Trevor Therapy 4190 S Highland Dr Ste 211 Salt Lake City UT 84124-2675 Ph: (801) 210-0458 |
| NPI Number | 1487311338 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487311338 | NPI | - | NPPES |
| 1538368980 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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