Provider Demographics
NPI:1558128355
Name:WAYSTONE COUNSELING STUDIO, PLLC
Entity Type:Organization
Organization Name:WAYSTONE COUNSELING STUDIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BURKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:970-846-4227
Mailing Address - Street 1:448 E ASPEN MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1808
Mailing Address - Country:US
Mailing Address - Phone:970-846-4227
Mailing Address - Fax:
Practice Address - Street 1:7533 S CENTER VIEW CT STE R
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-5526
Practice Address - Country:US
Practice Address - Phone:801-448-7745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty