Healthcare Provider Details
I. General information
NPI: 1629865431
Provider Name (Legal Business Name): STORYSIGHT THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4885 S 900 E STE 305A
MURRAY UT
84117-3916
US
IV. Provider business mailing address
3167 E BON VIEW DR
SALT LAKE CITY UT
84109-3701
US
V. Phone/Fax
- Phone: 714-356-2735
- Fax:
- Phone: 714-356-2735
- 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:
SARAH
WINDES
Title or Position: OWNER
Credential: CMHC
Phone: 714-356-2735