Healthcare Provider Details

I. General information

NPI: 1447945530
Provider Name (Legal Business Name): SUNSET THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11845 S 700 E STE 104
DRAPER UT
84020-9836
US

IV. Provider business mailing address

2172 N 2040 W
LEHI UT
84043-5133
US

V. Phone/Fax

Practice location:
  • Phone: 801-856-2647
  • Fax: 801-856-2647
Mailing address:
  • Phone: 801-856-2647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KAYLA ATKIN
Title or Position: OWNER
Credential: LCSW
Phone: 801-997-9273