Healthcare Provider Details

I. General information

NPI: 1164214128
Provider Name (Legal Business Name): ACCESS STABILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 W 9000 S # 104
SANDY UT
84070-2008
US

IV. Provider business mailing address

PO BOX 518
FARMINGTON UT
84025-0518
US

V. Phone/Fax

Practice location:
  • Phone: 203-246-2733
  • 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
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHEVONN JOHNSON
Title or Position: OWNER
Credential:
Phone: 385-722-4431