Provider Demographics
NPI:1073376075
Name:SAGE COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:SAGE COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-243-2540
Mailing Address - Street 1:10421 S JORDAN GTWY STE 600
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3902
Mailing Address - Country:US
Mailing Address - Phone:801-755-1202
Mailing Address - Fax:877-684-8017
Practice Address - Street 1:10421 S JORDAN GTWY STE 600
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3902
Practice Address - Country:US
Practice Address - Phone:801-755-1202
Practice Address - Fax:877-684-8017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty