| Wise Sage Llc | |
|
177 E 900 S Salt Lake City UT 84111-4251 | |
| (216) 409-6814 | |
| Not Available |
| Full Name | Wise Sage Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 177 E 900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Lauren Moriarty (OWNER) |
| Authorized Official Contact | 2164096814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Sage Llc 1280 E Lorraine Dr Salt Lake City UT 84106-2511 Ph: () - | Wise Sage Llc 177 E 900 S Salt Lake City UT 84111-4251 Ph: (216) 409-6814 |
| NPI Number | 1316765126 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316765126 | NPI | - | NPPES |
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