Healthcare Provider Details

I. General information

NPI: 1871440602
Provider Name (Legal Business Name): CHEZDAWN HEALING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 S 1100 E STE 100
SALT LAKE CITY UT
84105-2421
US

IV. Provider business mailing address

1336 S 1100 E STE 100
SALT LAKE CITY UT
84105-2421
US

V. Phone/Fax

Practice location:
  • Phone: 801-251-6775
  • Fax:
Mailing address:
  • Phone: 801-251-6775
  • Fax:

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: CHEZLIE JEDRZIEWSKI
Title or Position: OWNER
Credential: LCMHC
Phone: 801-414-6183