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COTTONWOOD CENTER FOR COUNSELING NPI 1396235156


NPI Information

NPI: 1396235156
Provider Name: COTTONWOOD CENTER FOR COUNSELING

Doing Business As: FAMILY ABUSE CENTER FOR TREATMENT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4055 S 700 E STE 204
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 946-2323
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COTTONWOOD CENTER FOR COUNSELING is a mental health (including community mental health center) clinic center in Salt Lake City, UT. COTTONWOOD CENTER FOR COUNSELING NPI is 1396235156. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Abuse Center For Treatment.

The provider's business location address is:

4055 S 700 E STE 204
SALT LAKE CITY, UT
ZIP 84107-504
Phone: (801) 946-2323

The provider's authorized official is Matthew Joseph Vicario .
The authorized official title is President and has the following contact phone number (801) 946-2323.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 9/16/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)5170621-6004UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11811331010MEDICAIDUTAH
213938810OTHERUTAHCAQH
31548561277MEDICAIDUTAH
412229378OTHERUTAHCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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