Healthcare Provider Details

I. General information

NPI: 1609702661
Provider Name (Legal Business Name): WILD SUNFLOWER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 24TH ST STE C
OGDEN UT
84401-4322
US

IV. Provider business mailing address

620 24TH ST STE C
OGDEN UT
84401-4322
US

V. Phone/Fax

Practice location:
  • Phone: 801-791-6604
  • Fax:
Mailing address:
  • Phone: 801-791-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: HANNAH CROSS
Title or Position: OWNER
Credential: LCSW
Phone: 801-791-6604