Healthcare Provider Details

I. General information

NPI: 1225841034
Provider Name (Legal Business Name): CIRCLE CARE SERVICES UT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E COTTONWOOD PKWY STE 500
SALT LAKE CITY UT
84121-7060
US

IV. Provider business mailing address

338 WHITESVILLE RD STE 603
JACKSON NJ
08527-5091
US

V. Phone/Fax

Practice location:
  • Phone: 732-796-3108
  • Fax:
Mailing address:
  • Phone: 732-380-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHER LOWI
Title or Position: BUSINESS MANAGER
Credential:
Phone: 732-796-3108