MEDICARE: LANI GAILEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	9104705-3902	UT

General Provider Information

NPI Number	:	1376995381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANI GAILEY LMFT

Provider Business Mailing Address
First Line	:	124 W 1400 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-5200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 W 1400 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-5200
Country	:	US
Telephone Number	:	801-382-8441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	03/10/2026

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Directions to “ LANI GAILEY LMFT” Practice Location

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