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NPI 1588591994

NPI 1588591994 : NOVA, LLC : PROVIDENCE, UT

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General NPI Number Information
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    NPI Number           |    1588591994
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVA, LLC 
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Dates
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    Enumeration Date     |    05/07/2026
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    Last Update Date     |    05/07/2026
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Provider Practice Location Address
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    Address Line         |    517 W 100 N STE 202 
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    City                 |    PROVIDENCE
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    State                |    UT
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    Zip                  |    84332-9824
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    Country              |    US
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    Telephone            |    435-554-8077
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    651 CANYON RD 
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    City                 |    LOGAN
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    State                |    UT
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    Zip                  |    84321-4240
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    Country              |    US
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    Telephone            |    720-490-1737
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, PRIMARY THERAPIST
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    Name                 |     HANNAH KATE Y SAWITSKY RISTORCELLI 
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    Credential           |    CMHC
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    Telephone            |    720-490-1737
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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       |    
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    License Number State |    
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