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General NPI Number Information
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NPI Number | 1962714576
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Entity Type | Organization
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Legal Business Name | SILVA COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 1384 W STATE RD STE 21
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4136
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Country | US
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Telephone | 801-796-8810
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Fax | 801-785-3169
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Provider Business Mailing Address
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Address Line | 1384 W STATE RD STE 21
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4136
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Country | US
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Telephone | 801-796-8810
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Fax | 801-785-3169
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Authorized Official
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Title or Position | OWNER
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Name | MARISA T SILVA
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Credential | LCSW
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Telephone | 801-796-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5848600-6004
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | UT 262048-3501
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License Number State | UT
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