Healthcare Provider Details

I. General information

NPI: 1861324014
Provider Name (Legal Business Name): NURTURED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 W VERA LN
BLUFFDALE UT
84065-5159
US

IV. Provider business mailing address

999 E MURRAY HOLLADAY RD STE 200
MILLCREEK UT
84117-5085
US

V. Phone/Fax

Practice location:
  • Phone: 801-203-0892
  • Fax:
Mailing address:
  • Phone: 801-203-0892
  • Fax: 801-203-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA MAE PARADY
Title or Position: CEO
Credential: LMFT
Phone: 801-203-0892