Provider Demographics
NPI:1518466465
Name:SALT LAKE COUNSELING AND COACHING, PLLC
Entity Type:Organization
Organization Name:SALT LAKE COUNSELING AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-614-0751
Mailing Address - Street 1:60 S 600 E STE 100
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1028
Mailing Address - Country:US
Mailing Address - Phone:602-614-0751
Mailing Address - Fax:
Practice Address - Street 1:60 S 600 E STE 100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1028
Practice Address - Country:US
Practice Address - Phone:602-614-0751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8538624-3501261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)