Healthcare Provider Details

I. General information

NPI: 1538398094
Provider Name (Legal Business Name): CHOOSING JOY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 E 1200 S STE 101
OREM UT
84058-6972
US

IV. Provider business mailing address

3525 RUFFED GROUSE RD
EAGLE MOUNTAIN UT
84005-4447
US

V. Phone/Fax

Practice location:
  • Phone: 801-836-8678
  • Fax: 801-796-0475
Mailing address:
  • Phone: 801-836-8678
  • Fax: 801-796-0475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number346397-6004
License Number StateUT

VIII. Authorized Official

Name: MRS. CONNIE A WILLIAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-836-8678