Provider Demographics
NPI:1346814480
Name:TRUE SELF COUNSELING
Entity Type:Organization
Organization Name:TRUE SELF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:801-636-5321
Mailing Address - Street 1:437 E 1000 S STE 200
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3623
Mailing Address - Country:US
Mailing Address - Phone:801-921-3619
Mailing Address - Fax:801-829-9432
Practice Address - Street 1:437 E 1000 S STE 200
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3623
Practice Address - Country:US
Practice Address - Phone:801-921-3619
Practice Address - Fax:801-829-9432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty