Provider Demographics
NPI:1568722965
Name:HUMANISTIC COUNSELING & ASSOC, INC
Entity Type:Organization
Organization Name:HUMANISTIC COUNSELING & ASSOC, INC
Other - Org Name:SANDY COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIDRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-944-1666
Mailing Address - Street 1:8184 HIGHLAND DR STE C8
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-6498
Mailing Address - Country:US
Mailing Address - Phone:801-944-1666
Mailing Address - Fax:801-944-1698
Practice Address - Street 1:8184 HIGHLAND DR STE C8
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6498
Practice Address - Country:US
Practice Address - Phone:801-944-1666
Practice Address - Fax:801-944-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health