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General NPI Number Information
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NPI Number | 1407760713
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Entity Type | Organization
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Legal Business Name | SWITCHBACK THERAPY LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 515 S 700 E STE 2E
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2854
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Country | US
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Telephone | 801-436-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E HIDDEN GARDEN LN
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-3648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JAMES MASON
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Credential | CMHC, LPC
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Telephone | 616-510-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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