Provider Demographics
NPI:1184446270
Name:OAKRIDGE COUNSELING CENTER
Entity type:Organization
Organization Name:OAKRIDGE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-893-1330
Mailing Address - Street 1:5414 W DAYBREAK PKWY STE 408
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-5904
Mailing Address - Country:US
Mailing Address - Phone:801-893-1330
Mailing Address - Fax:
Practice Address - Street 1:10459 S TEMPLE DR STE 101
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-8930
Practice Address - Country:US
Practice Address - Phone:801-893-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty