Provider Demographics
NPI:1417672106
Name:KIOTANI COUNSELING LLC
Entity Type:Organization
Organization Name:KIOTANI COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:RINEY
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-600-5680
Mailing Address - Street 1:464 W 2300 S
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2031
Mailing Address - Country:US
Mailing Address - Phone:801-600-5680
Mailing Address - Fax:
Practice Address - Street 1:464 W 2300 S
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-2031
Practice Address - Country:US
Practice Address - Phone:801-600-5680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)