| Pivotal Trauma Counseling Llc | |
|
489 W South Jordan Pkwy Ste 200 South Jordan UT 84095-3980 | |
| (801) 406-1145 | |
| Not Available |
| Full Name | Pivotal Trauma Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 489 W South Jordan Pkwy Ste 200, South Jordan, Utah |
| Authorized Official Name and Position | Korilynn C Bartley (PRESIDENT) |
| Authorized Official Contact | 8014061145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Trauma Counseling Llc 10982 S Maple Forest Way South Jordan UT 84095-4120 Ph: (801) 406-1145 | Pivotal Trauma Counseling Llc 489 W South Jordan Pkwy Ste 200 South Jordan UT 84095-3980 Ph: (801) 406-1145 |
| NPI Number | 1790438745 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790438745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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