MEDICARE: SALT LAKE ANXIETY, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1891656146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALT LAKE ANXIETY, PLLC

Provider Business Mailing Address
First Line	:	3400 S CRESTWOOD DR
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84109-3204
Country	:	US
Telephone Number	:	206-928-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 E SOUTH TEMPLE STE 250
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1273
Country	:	US
Telephone Number	:	206-928-5600
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ELIZABETH SILVESTRINI
Credential	:	JD, MA
Telephone Number	:	206-928-5600

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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