Mountain Land Family Therapy Clinics Lc in Salt Lake City - Clinical
Mountain Land Family Therapy Clinics Lc - NPI 1558478677
Mountain Land Family Therapy Clinics Lc is a Clinical in Salt Lake City, Utah. Mountain Land Family Therapy Clinics Lc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mountain Land Family Therapy Clinics Lc is 1558478677. The last update date is 2020-08-22.
Mountain Land Family Therapy Clinics Lc's current location address is Po Box 711185, Salt Lake City, Utah. You can contact this provider via phone number 8019423311 and fax number 8019425955. The mailing address for Mountain Land Family Therapy Clinics Lc is Po Box 711185, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Land Family Therapy Clinics Lc |
|---|---|
| Address | Po Box 711185, Salt Lake City, Utah |
| Phone Number | 8019423311 |
| Fax Number | 8019425955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Anderson Mark |
| Credentials | PT |
| Telephone Number | 8019423311 |
NPI Number Detail
| NPI Number | 1558478677 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 711185 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84171 |
| Phone Number | 8019423311 |
| Fax Number | 8019425955 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Mountain Land Family Therapy Clinics Lc's unique identification number?
The Mountain Land Family Therapy Clinics Lc has been assigned the NPI (National Provider Identifier) Number 1558478677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mountain Land Family Therapy Clinics Lc?
The Mountain Land Family Therapy Clinics Lc is physically situated at Po Box 711185, in the city of Salt Lake City, state of UT, with the postal code 84171.
What is Mountain Land Family Therapy Clinics Lc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain Land Family Therapy Clinics Lc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Mountain Land Family Therapy Clinics Lc receive its 1558478677 assignment from the Centers for Medicare & Medicaid Services?
The Mountain Land Family Therapy Clinics Lc was assigned its 1558478677 by the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the details related to Mountain Land Family Therapy Clinics Lc most recently updated or revised?
The information pertaining to Mountain Land Family Therapy Clinics Lc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.