Healthcare Provider Details

I. General information

NPI: 1851162820
Provider Name (Legal Business Name): HEALWORTHY THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/09/2024
Certification Date: 01/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 S OREM BLVD
OREM UT
84058-6979
US

IV. Provider business mailing address

1039 S OREM BLVD
OREM UT
84058-6979
US

V. Phone/Fax

Practice location:
  • Phone: 385-429-2126
  • Fax:
Mailing address:
  • Phone: 385-429-2126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JANICE M MARTENSEN
Title or Position: OWNER
Credential: LCSW
Phone: 801-885-0903