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General NPI Number Information
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NPI Number | 1144160953
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Entity Type | Organization
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Legal Business Name | Q PORSCHATIS LCSW, LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 2120 E 3900 S STE 101
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City | HOLLADAY
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State | UT
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Zip | 84124-1781
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Country | US
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Telephone | 801-203-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 E 3900 S STE 101
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City | HOLLADAY
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State | UT
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Zip | 84124-1781
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Country | US
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Telephone | 801-203-0329
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER MARIE PORSCHATIS
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Credential | LCSW
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Telephone | 801-574-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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