| NPI | 1215746359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LEVENSON Owner 801-814-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-12-02 |