| Wild Expanse Counseling Pllc | |
|
1518 S 1100 E Ste B Salt Lake City UT 84105-2579 | |
| (385) 355-4478 | |
| Not Available |
| Full Name | Wild Expanse Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1518 S 1100 E Ste B, Salt Lake City, Utah |
| Authorized Official Name and Position | Violet Floros (OWNER) |
| Authorized Official Contact | 6038282693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Expanse Counseling Pllc 1074 1/2 E Kensington Ave Salt Lake City UT 84105-2404 Ph: (603) 828-2693 | Wild Expanse Counseling Pllc 1518 S 1100 E Ste B Salt Lake City UT 84105-2579 Ph: (385) 355-4478 |
| NPI Number | 1245029792 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245029792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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