Provider Demographics
NPI:1285036863
Name:KAIZEN COUNSELING, LLC
Entity Type:Organization
Organization Name:KAIZEN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VAUGHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-486-0908
Mailing Address - Street 1:2144 S LAKELINE DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1425
Mailing Address - Country:US
Mailing Address - Phone:801-486-0908
Mailing Address - Fax:888-302-5506
Practice Address - Street 1:4568 S HIGHLAND DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4263
Practice Address - Country:US
Practice Address - Phone:801-486-0908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty