Provider Demographics
NPI:1376375667
Name:ARKTYPE COUNSELING PLLC
Entity type:Organization
Organization Name:ARKTYPE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-369-6844
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-1191
Mailing Address - Country:US
Mailing Address - Phone:801-449-0281
Mailing Address - Fax:385-483-4376
Practice Address - Street 1:35 N 500 W
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-1755
Practice Address - Country:US
Practice Address - Phone:801-449-0281
Practice Address - Fax:385-483-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty