Healthcare Provider Details

I. General information

NPI: 1144148818
Provider Name (Legal Business Name): HELEN DELOVELY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E 200 S STE 1521
SALT LAKE CITY UT
84111-2472
US

IV. Provider business mailing address

250 E 200 S STE 1521
SALT LAKE CITY UT
84111-2472
US

V. Phone/Fax

Practice location:
  • Phone: 385-443-4045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HELEN MARIE DE-LOVELY
Title or Position: SOLE MEMBER
Credential: LCSW
Phone: 435-817-6610