Provider Demographics
NPI:1194556506
Name:NATIVATION COUNSELING
Entity type:Organization
Organization Name:NATIVATION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEET
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:385-503-8398
Mailing Address - Street 1:8977 S 1300 W # 2029
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-9274
Mailing Address - Country:US
Mailing Address - Phone:385-503-8398
Mailing Address - Fax:385-446-0039
Practice Address - Street 1:1196 W SOUTH JORDAN PKWY STE D2
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-4604
Practice Address - Country:US
Practice Address - Phone:385-503-8398
Practice Address - Fax:385-446-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health