=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609702661
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILD SUNFLOWER COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2026
-----------------------------------------------------
Last Update Date | 06/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 620 24TH ST STE C
-----------------------------------------------------
City | OGDEN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84401-4322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-791-6604
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 620 24TH ST STE C
-----------------------------------------------------
City | OGDEN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84401-4322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-791-6604
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HANNAH CROSS
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 801-791-6604
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------