Provider Demographics
NPI:1942052097
Name:SATHIYANATHAN COUNSELING, LLC
Entity Type:Organization
Organization Name:SATHIYANATHAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SATHIYANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-896-3505
Mailing Address - Street 1:855 S 3050 W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-5127
Mailing Address - Country:US
Mailing Address - Phone:801-896-3505
Mailing Address - Fax:844-583-1354
Practice Address - Street 1:107 N MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-6153
Practice Address - Country:US
Practice Address - Phone:801-896-3505
Practice Address - Fax:844-583-1354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty