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General NPI Number Information
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NPI Number | 1811848708
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Entity Type | Organization
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Legal Business Name | GREEN SAGE COUNSELING
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1399 S 700 E STE 12-E
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2149
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Country | US
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Telephone | 801-556-1611
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Fax | 801-953-0982
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Provider Business Mailing Address
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Address Line | 669 E MILTON AVE
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2112
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Country | US
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Telephone | 801-556-1611
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Fax | 801-953-0982
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. VALERIE LEAVITT
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Credential | LCSW
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Telephone | 801-556-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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