BLUE CLOVER THERAPY NPI 1700249844

NPI Information

NPI: 1700249844
Provider Name: BLUE CLOVER THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2825 E COTTONWOOD PKWY
SUITE 500
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 206-4321
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BLUE CLOVER THERAPY is a mental health counselor in Salt Lake City, UT. BLUE CLOVER THERAPY NPI is 1700249844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2825 E COTTONWOOD PKWY
SUITE 500
SALT LAKE CITY, UT
ZIP 84121-055
Phone: (801) 206-4321

The provider's authorized official is Jessie Shepherd .
The authorized official title is Owner Therapist and has the following contact phone number (801) 206-4321.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	9706026-0160	UTAH	Yes

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

NPI Synchronization or Removal

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