| Integrative Counseling, Llc | |
|
510 E Sego Lily Dr Sandy UT 84070-3546 | |
| (801) 793-0620 | |
| (844) 440-5778 |
| Full Name | Integrative Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 510 E Sego Lily Dr, Sandy, Utah |
| Authorized Official Name and Position | Shelley Folsom Mangum (OWNER) |
| Authorized Official Contact | 8017930620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling, Llc 510 E Sego Lily Dr Sandy UT 84070-3546 Ph: (801) 793-0620 | Integrative Counseling, Llc 510 E Sego Lily Dr Sandy UT 84070-3546 Ph: (801) 793-0620 |
| NPI Number | 1508486473 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508486473 | NPI | - | NPPES |
| 5828209-6004 | Other | UT | LCMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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