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General NPI Number Information
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NPI Number | 1780507467
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Entity Type | Organization
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Legal Business Name | LEADERSHIP ACADEMY OF UTAH
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 1366 S LEGEND HILLS DR STE 190
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City | CLEARFIELD
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State | UT
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Zip | 84015-2375
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Country | US
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Telephone | 800-200-6869
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Fax |
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Provider Business Mailing Address
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Address Line | 1366 S LEGEND HILLS DR STE 190
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City | CLEARFIELD
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State | UT
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Zip | 84015-2375
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Country | US
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Telephone | 800-200-6869
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | LUCIA STONE
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Credential | AMFT
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Telephone | 801-244-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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