Provider Demographics
NPI:1710741855
Name:JOSHUA TREE PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:JOSHUA TREE PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:385-481-6056
Mailing Address - Street 1:741 E 9000 S
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-3085
Mailing Address - Country:US
Mailing Address - Phone:385-481-6056
Mailing Address - Fax:385-900-1566
Practice Address - Street 1:741 E 9000 S
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-3085
Practice Address - Country:US
Practice Address - Phone:385-481-6056
Practice Address - Fax:385-900-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)