The Interpersonal Therapy Clinic, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Cottonwood Heights, UT. Organization (NPI-2).
NPI number1609684232
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1609684232
- Entity type
- Organization (NPI-2)
- Legal business name
- The Interpersonal Therapy Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 30, 2024
- Certification date
- Dec 29, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
6936 S Promenade Dr Ste 301Cottonwood Heights, UT 84121-3386
Phone 385-743-2226
Mailing address
6936 S Promenade Dr Ste 301Cottonwood Heights, UT 84121-3386
Authorized official
Stacy Gibbons
Owner
8018701598
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