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General NPI Number Information
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NPI Number | 1841184181
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Entity Type | Organization
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Legal Business Name | AMARYLLIS COUNSELING
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2661 WASHINGTON BLVD STE 204
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City | OGDEN
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State | UT
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Zip | 84401-8303
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Country | US
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Telephone | 801-317-7837
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Fax |
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Provider Business Mailing Address
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Address Line | 965 N LIBERTY AVE
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City | OGDEN
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State | UT
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Zip | 84404-6247
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Country | US
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Telephone | 801-317-7837
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST AND OWNER
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Name | ELYSSA STUBBLEFIELD
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Credential | LCSW
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Telephone | 801-317-7837
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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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