Provider Demographics
NPI:1659963437
Name:LATCHKEY COUNSELING PLLC
Entity Type:Organization
Organization Name:LATCHKEY COUNSELING PLLC
Other - Org Name:LATCHKEY COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-896-7146
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-0209
Mailing Address - Country:US
Mailing Address - Phone:801-896-7146
Mailing Address - Fax:
Practice Address - Street 1:4630 S 3500 W STE 1
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-9401
Practice Address - Country:US
Practice Address - Phone:801-896-7146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)