Healthcare Provider Details

I. General information

NPI: 1588941892
Provider Name (Legal Business Name): CARLY EFROS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 S REDWOOD RD
SALT LAKE CITY UT
84104-5112
US

IV. Provider business mailing address

1875 S REDWOOD RD
SALT LAKE CITY UT
84104-5112
US

V. Phone/Fax

Practice location:
  • Phone: 801-355-2846
  • Fax: 801-359-3244
Mailing address:
  • Phone: 801-355-2846
  • Fax: 801-359-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: