Healthcare Provider Details

I. General information

NPI: 1487591640
Provider Name (Legal Business Name): CALM WITHIN THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8754 S OKUBO DR
WEST JORDAN UT
84088-5701
US

IV. Provider business mailing address

8754 S OKUBO DR
WEST JORDAN UT
84088-5701
US

V. Phone/Fax

Practice location:
  • Phone: 801-231-0108
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEAL SUSAETA
Title or Position: OWNER
Credential:
Phone: 801-231-0108