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General NPI Number Information
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NPI Number | 1194204115
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Entity Type | Organization
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Legal Business Name | UTAH THERAPY AND HEALING, PLLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 825 E 4800 S STE 120C
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City | MURRAY
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State | UT
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Zip | 84107-5557
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Country | US
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Telephone | 801-899-6797
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Fax |
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Provider Business Mailing Address
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Address Line | 825 E 4800 S STE 120C
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City | MURRAY
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State | UT
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Zip | 84107-5557
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Country | US
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Telephone | 801-899-6797
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Fax | 801-446-3999
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SUZANNE LOWRY
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Credential | CMHC
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Telephone | 801-899-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8597001-6004
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License Number State | UT
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