Provider Demographics
NPI:1033561717
Name:ARURA
Entity Type:Organization
Organization Name:ARURA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALANTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-599-3104
Mailing Address - Street 1:681 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3556
Mailing Address - Country:US
Mailing Address - Phone:801-613-7032
Mailing Address - Fax:
Practice Address - Street 1:702 E SOUTH TEMPLE STE B40
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1324
Practice Address - Country:US
Practice Address - Phone:801-613-7032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8607093-3501251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT13616804OtherCAQH