Healthcare Provider Details

I. General information

NPI: 1285200147
Provider Name (Legal Business Name): JANALYN DOLL GARRETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 E PARLEYS WAY STE 130
SALT LAKE CITY UT
84109-1658
US

IV. Provider business mailing address

420 A ST
SALT LAKE CITY UT
84103-2537
US

V. Phone/Fax

Practice location:
  • Phone: 801-981-5825
  • 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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: