Provider Demographics
NPI:1255818233
Name:R&K MARCROFT, INC
Entity type:Organization
Organization Name:R&K MARCROFT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYNDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-668-0832
Mailing Address - Street 1:11618 S STATE ST STE 1603
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7123
Mailing Address - Country:US
Mailing Address - Phone:435-668-0832
Mailing Address - Fax:801-930-5739
Practice Address - Street 1:11618 S STATE ST STE 1604
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7123
Practice Address - Country:US
Practice Address - Phone:801-988-9807
Practice Address - Fax:801-930-5739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X
UT377874-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty