Healthcare Provider Details

I. General information

NPI: 1952762940
Provider Name (Legal Business Name): KAREN FLESSNER LEE DARLING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2016
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 N MAIN ST
LOGAN UT
84321-3915
US

IV. Provider business mailing address

1709 E 1460 N
LOGAN UT
84341-2983
US

V. Phone/Fax

Practice location:
  • Phone: 801-317-4410
  • Fax: 435-227-0401
Mailing address:
  • Phone: 801-317-4426
  • Fax: 435-227-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9307662-3501
License Number StateUT

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: