Healthcare Provider Details

I. General information

NPI: 1396585568
Provider Name (Legal Business Name): COUNSELING 4 ME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 E 3575 N
NORTH OGDEN UT
84414-7575
US

IV. Provider business mailing address

847 E 3575 N
NORTH OGDEN UT
84414-7575
US

V. Phone/Fax

Practice location:
  • Phone: 385-240-4847
  • Fax:
Mailing address:
  • Phone: 385-240-4847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MELODY BURUM
Title or Position: OWNER
Credential: LCSW
Phone: 385-240-4847