Healthcare Provider Details

I. General information

NPI: 1578420972
Provider Name (Legal Business Name): CITY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 S RIO GRANDE ST STE 303
SALT LAKE CITY UT
84101-1125
US

IV. Provider business mailing address

331 S RIO GRANDE ST STE 303
SALT LAKE CITY UT
84101-1125
US

V. Phone/Fax

Practice location:
  • Phone: 801-657-2399
  • Fax:
Mailing address:
  • Phone: 801-657-2399
  • 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: DAVID AARON ANDREWS
Title or Position: HEALTHCARE PROVIDER/OWNER
Credential:
Phone: 801-657-2399