Provider Demographics
NPI:1700525375
Name:SILVER CREEK COUNSELING LLC
Entity Type:Organization
Organization Name:SILVER CREEK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-735-2301
Mailing Address - Street 1:3281 N 425 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-9679
Mailing Address - Country:US
Mailing Address - Phone:801-735-2301
Mailing Address - Fax:801-295-2841
Practice Address - Street 1:2700 HOMESTEAD RD STE 210
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-4858
Practice Address - Country:US
Practice Address - Phone:801-753-8771
Practice Address - Fax:801-295-2841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty