ORIGINAL THERAPY LLC NPI 1083430011

NPI Details

ORIGINAL THERAPY LLC is a clinical social worker in Salt Lake City, UT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ORIGINAL THERAPY LLC NPI is 1083430011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 E 200 S STE 110
SALT LAKE CITY, UT
ZIP 84111-156
Phone: (435) 994-9259

The provider's authorized official is Tonya Lundahl .
The authorized official title is Owner/director and has the following contact phone number (435) 994-9259.

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: