Healthcare Provider Details

I. General information

NPI: 1427979897
Provider Name (Legal Business Name): INFINITE HALOS SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 E 400 S
SALT LAKE CITY UT
84111-2993
US

IV. Provider business mailing address

350 E 400 S
SALT LAKE CITY UT
84111-2993
US

V. Phone/Fax

Practice location:
  • Phone: 801-441-0060
  • Fax:
Mailing address:
  • Phone: 801-441-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KALOLAINE SEKONA
Title or Position: OWNER/DIRECTOR
Credential: MSW
Phone: 801-441-0060