Healthcare Provider Details

I. General information

NPI: 1235912346
Provider Name (Legal Business Name): COMPASSIONATE COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 N 500 W STE 213
BOUNTIFUL UT
84010-7000
US

IV. Provider business mailing address

1534 E 1425 N
LAYTON UT
84040-8354
US

V. Phone/Fax

Practice location:
  • Phone: 801-800-4357
  • Fax:
Mailing address:
  • Phone: 801-499-9062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANYA DORIUS
Title or Position: OWNER
Credential: LCSW
Phone: 801-800-4357