| Trish Sullivant | |
|
4505 S Wasatch Blvd Ste 360 Salt Lake City UT 84124-4203 | |
| (801) 541-9566 | |
| Not Available |
| Full Name | Trish Sullivant |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4505 S Wasatch Blvd Ste 360, Salt Lake City, Utah |
| Authorized Official Name and Position | Tricia Sullivant (OWNER) |
| Authorized Official Contact | 8015419566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trish Sullivant 8676 S 1700 E Sandy UT 84093-1425 Ph: (801) 541-9566 | Trish Sullivant 4505 S Wasatch Blvd Ste 360 Salt Lake City UT 84124-4203 Ph: (801) 541-9566 |
| NPI Number | 1912441759 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912441759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 86376063501 (Utah) | Primary |
Shrinkster, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E 4500 S Ste 302, Salt Lake City, UT 84107 Phone: 801-685-9600 Fax: 801-268-3777 | |
Burton Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1433 S 1100 E, Salt Lake City, UT 84105 Phone: 801-581-0422 | |
Sacred Circle Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 Fax: 801-364-4392 | |
Palliative Medicine Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 E 3900 S, Suite B, Salt Lake City, UT 84107 Phone: 801-747-0330 | |
Journey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 S Main St Ste B, Salt Lake City, UT 84115 Phone: 801-803-8105 | |
Blossom Aba Therapy Ut Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121 Phone: 732-730-7505 | |
Michael S Buxton Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E Ste 11, Salt Lake City, UT 84105 Phone: 801-318-1900 |