Healthcare Provider Details

I. General information

NPI: 1295639334
Provider Name (Legal Business Name): STEADY LOVE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S ALPINE CIR
ALPINE UT
84004-1721
US

IV. Provider business mailing address

300 S ALPINE CIR
ALPINE UT
84004-1721
US

V. Phone/Fax

Practice location:
  • Phone: 801-899-9791
  • Fax:
Mailing address:
  • Phone: 801-899-9791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGIE BLEDSOE
Title or Position: OWNER
Credential: LMFT
Phone: 801-899-9791