Provider Demographics
NPI:1093255226
Name:COUNSELING MADE SIMPLE PLLC
Entity Type:Organization
Organization Name:COUNSELING MADE SIMPLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:385-626-9345
Mailing Address - Street 1:719 N 1890 W
Mailing Address - Street 2:SUITE #38B
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-1333
Mailing Address - Country:US
Mailing Address - Phone:385-626-9345
Mailing Address - Fax:
Practice Address - Street 1:719 N 1890 W STE 38B
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-1333
Practice Address - Country:US
Practice Address - Phone:385-626-9345
Practice Address - Fax:385-626-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT320724-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty