Provider Demographics
NPI:1679072888
Name:SEGO GROUP FAMILY COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:SEGO GROUP FAMILY COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAMPAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ROWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CMHC
Authorized Official - Phone:801-913-8976
Mailing Address - Street 1:1238 S 4350 W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-7149
Mailing Address - Country:US
Mailing Address - Phone:801-913-8976
Mailing Address - Fax:
Practice Address - Street 1:2019 W 1900 S STE 140
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9643
Practice Address - Country:US
Practice Address - Phone:801-913-8976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-03
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty