Healthcare Provider Details

I. General information

NPI: 1831093780
Provider Name (Legal Business Name): DANIELSON THERAPY GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 N 400 E STE 102
LOGAN UT
84341-1960
US

IV. Provider business mailing address

186 E 1800 N STE 1
LOGAN UT
84341-2245
US

V. Phone/Fax

Practice location:
  • Phone: 435-754-9399
  • Fax: 435-752-1095
Mailing address:
  • Phone: 435-754-9399
  • Fax: 435-752-1095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRICIA HILL DANIELSON
Title or Position: OWNER
Credential: MS, LMFT
Phone: 435-881-8443