| Ridgedale Counseling Inc. | |
|
4190 S Highland Dr Ste 108 Salt Lake City UT 84124-2661 | |
| (801) 793-7849 | |
| Not Available |
| Full Name | Ridgedale Counseling Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4190 S Highland Dr Ste 108, Salt Lake City, Utah |
| Authorized Official Name and Position | Robert Eric Urquidi (PRESIDENT) |
| Authorized Official Contact | 8017937849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgedale Counseling Inc. 3400 S Lorraine Cir Salt Lake City UT 84106-4465 Ph: (801) 793-7849 | Ridgedale Counseling Inc. 4190 S Highland Dr Ste 108 Salt Lake City UT 84124-2661 Ph: (801) 793-7849 |
| NPI Number | 1568259372 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568259372 | NPI | - | NPPES |
| 1700189891 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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