Provider Demographics
NPI:1255915203
Name:STRONG LIVES COUNSELING
Entity type:Organization
Organization Name:STRONG LIVES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:COLBEY
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-634-4802
Mailing Address - Street 1:5239 W BRIDLE HOLLOW PL
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-3965
Mailing Address - Country:US
Mailing Address - Phone:801-634-4802
Mailing Address - Fax:
Practice Address - Street 1:5239 W BRIDLE HOLLOW PL
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84081-3965
Practice Address - Country:US
Practice Address - Phone:801-634-4802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)