Provider Demographics
NPI:1073640322
Name:NORTHERN UTAH COUNSELING LLC
Entity Type:Organization
Organization Name:NORTHERN UTAH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:LINDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-779-0955
Mailing Address - Street 1:1725 S 1450 E
Mailing Address - Street 2:STE 340
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2281
Mailing Address - Country:US
Mailing Address - Phone:801-779-0955
Mailing Address - Fax:801-779-0255
Practice Address - Street 1:1725 S 1450 E
Practice Address - Street 2:STE 340
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-2281
Practice Address - Country:US
Practice Address - Phone:801-779-0955
Practice Address - Fax:801-779-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty