| Canyon Crest Counseling Llc | |
|
10416 S 1055 W Ste 201 South Jordan UT 84095-1503 | |
| (435) 339-4758 | |
| Not Available |
| Full Name | Canyon Crest Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10416 S 1055 W Ste 201, South Jordan, Utah |
| Authorized Official Name and Position | Taven Herd (OWNER) |
| Authorized Official Contact | 8015577218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Crest Counseling Llc 2549 E Altamont Cir Sandy UT 84092-3301 Ph: () - | Canyon Crest Counseling Llc 10416 S 1055 W Ste 201 South Jordan UT 84095-1503 Ph: (435) 339-4758 |
| NPI Number | 1609751536 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609751536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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