MEDICARE: CATALYST COUNSELING

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508652025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALYST COUNSELING

Provider Business Mailing Address
First Line	:	589 S RAVENWOOD LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-5903
Country	:	US
Telephone Number	:	801-857-8351
Fax Number	:

Provider Business Practice Location Address
First Line	:	589 S RAVENWOOD LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-5903
Country	:	US
Telephone Number	:	801-857-8351
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/FOUNDER
Name	:	KAYLA WENDELBOE
Credential	:	LCSW
Telephone Number	:	801-891-0446

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/21/2025

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