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NPI 1891636130

NPI 1891636130 : SHARED PATH THERAPY & COACHING, PLLC : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1891636130
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHARED PATH THERAPY & COACHING, PLLC 
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Dates
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    Enumeration Date     |    04/02/2026
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    Last Update Date     |    04/02/2026
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Provider Practice Location Address
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    Address Line         |    30 E BROADWAY STE 2031284 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84111-2227
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    Country              |    US
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    Telephone            |    801-810-0407
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30 E BROADWAY STE 2031284 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84111-2227
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KENSINGTON  OSMOND 
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    Credential           |    LMFT
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    Telephone            |    801-810-0407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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