Healthcare Provider Details
I. General information
NPI: 1497688808
Provider Name (Legal Business Name): TRUE GROUND COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4190 S HIGHLAND DR STE 107
MILLCREEK UT
84124-2600
US
IV. Provider business mailing address
4190 S HIGHLAND DR STE 107
MILLCREEK UT
84124-2600
US
V. Phone/Fax
- Phone: 801-833-0885
- Fax:
- Phone: 801-833-0885
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KERI
ENGER
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 801-833-0885