| Lakeside Counseling | |
|
2832 W 4700 S Suite A Taylorsville UT 84129-2155 | |
| (801) 703-7911 | |
| (866) 614-0752 |
| Full Name | Lakeside Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2832 W 4700 S, Taylorsville, Utah |
| Authorized Official Name and Position | Carol Elaine Buffi (OWNER) |
| Authorized Official Contact | 8017037911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Counseling Po Box 70042 Salt Lake City UT 84170-0042 Ph: (801) 703-7911 | Lakeside Counseling 2832 W 4700 S Suite A Taylorsville UT 84129-2155 Ph: (801) 703-7911 |
| NPI Number | 1245636430 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245636430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 351724-3501 (Utah) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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