Provider Demographics
NPI:1780028498
Name:MESSERSMITH COUNSELING CSW
Entity Type:Organization
Organization Name:MESSERSMITH COUNSELING CSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MESSERSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-336-8475
Mailing Address - Street 1:2317 N HILL FIELD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-4781
Mailing Address - Country:US
Mailing Address - Phone:801-336-8475
Mailing Address - Fax:801-779-7808
Practice Address - Street 1:2317 N HILL FIELD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-4781
Practice Address - Country:US
Practice Address - Phone:801-336-8475
Practice Address - Fax:801-779-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5059033-3501101YM0800X
UT7734961-3501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty