MEDICARE: DAILY PRACTICE THERAPY

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1639863095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAILY PRACTICE THERAPY

Provider Business Mailing Address
First Line	:	10808 S RIVER FRONT PKWY STE 366
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-6300
Country	:	US
Telephone Number	:	808-779-5273
Fax Number	:

Provider Business Practice Location Address
First Line	:	10808 S RIVER FRONT PKWY STE 366
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-6300
Country	:	US
Telephone Number	:	808-779-5273
Fax Number	:

Authorized Official
Title or Position	:	OWNER, THERAPIST
Name	:	CHRISTINA ELLWANGER
Credential	:	LCSW
Telephone Number	:	808-779-5273

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

Similar Medicare Providers

1053279620 — RENEWED CONNECTIONS THERAPY
Practice Location Address:

10808 S RIVER FRONT PKWY STE 373
SOUTH JORDAN, UT
84095-6300

Practice Phone: 801-448-5183
Practice Fax:

1801109749 — TORI HARRINGTON CMHC
Practice Location Address:

10808 S RIVER FRONT PKWY STE 372
SOUTH JORDAN, UT
84095-6300

Practice Phone: 801-916-0280
Practice Fax:

1366851271 — ADVANCED MOBILE DIAGNOSTICS, LLC
Practice Location Address:

10808 S RIVER FRONT PKWY STE 362
SOUTH JORDAN, UT
84095-6300

Practice Phone: 801-984-8039
Practice Fax:

1578055794 — TIFFANY MURILLO PASKETT ACMHC
Practice Location Address:

10808 S RIVER FRONT PKWY STE 361
SOUTH JORDAN, UT
84095-6300

Practice Phone: 760-440-8433
Practice Fax:

1275123077 — PRESTON ROBERT DAHLGREN MFT
Practice Location Address:

10808 S RIVER FRONT PKWY STE 361
SOUTH JORDAN, UT
84095-6300

Practice Phone: 801-900-6047
Practice Fax:

1891499398 — BLANCHE AMEI SAMA
Practice Location Address:

6300 HEADEN JORDAN AVE
RIVERDALE, MD
20737-1431

Practice Phone: 240-658-5638
Practice Fax:

Directions to “DAILY PRACTICE THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.