Provider Demographics
NPI:1790269892
Name:CENTER FOR HEALING THERAPIES
Entity Type:Organization
Organization Name:CENTER FOR HEALING THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-451-8797
Mailing Address - Street 1:699 E SOUTH TEMPLE STE 201G
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-4252
Mailing Address - Country:US
Mailing Address - Phone:801-257-8910
Mailing Address - Fax:
Practice Address - Street 1:699 N. S. TEMPLE
Practice Address - Street 2:SUITE 201 G
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-4252
Practice Address - Country:US
Practice Address - Phone:801-451-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)